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NPI Code Detail

MEDICARE: DAMIEN HARRIS

MEDICARE: DAMIEN HARRIS
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1467346809
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMIEN HARRIS
Provider Business Mailing Address
First Line : 1415 SALEM AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-4941
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1415 SALEM AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-4941
Country : US
Telephone Number : 937-723-8475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2025
Last Update Date : 06/09/2025

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Directions to “ DAMIEN HARRIS ” Practice Location

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