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NPI Code Detail

MEDICARE: MRS. CHRISTINA MARIE HARRIS LCSW

MEDICARE: MRS. CHRISTINA MARIE HARRIS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS22052CA
21041C0700XClinical Social WorkerC008303NC

General Provider Information

NPI Number : 1295703726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA MARIE HARRIS LCSW
Provider Business Mailing Address
First Line : 1801 WESTWIND DR
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-3028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1801 WESTWIND DR
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-3028
Country : US
Telephone Number : 661-632-1855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 02/07/2017

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