MEDICARE: JUNENE K. HARRIS AADP, IHPM

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
1	374J00000X	Doula
2	103K00000X	Behavior Analyst
3	172V00000X	Community Health Worker
4	171400000X	Health & Wellness Coach		TX
5	175F00000X	Naturopath	266434307	TX

General Provider Information

NPI Number	:	1770352247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNENE K. HARRIS AADP, IHPM

Provider Business Mailing Address
First Line	:	3560 W CAMP WISDOM RD STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237-2513
Country	:	US
Telephone Number	:	945-240-6989
Fax Number	:

Provider Business Practice Location Address
First Line	:	3560 W CAMP WISDOM RD STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237-2513
Country	:	US
Telephone Number	:	945-240-6989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2023
Last Update Date	:	10/14/2025

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