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NPI Code Detail

MEDICARE: JOSEPH P HARRISON

MEDICARE: JOSEPH P HARRISON
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
1101YA0400XAddiction (Substance Use Disorder) Counselor20321-130WI

General Provider Information

NPI Number : 1841154242
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH P HARRISON
Provider Business Mailing Address
First Line : 8444 N 90TH ST STE 100
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-4437
Country : US
Telephone Number : 602-248-8886
Fax Number :
Provider Business Practice Location Address
First Line : 23 W SCOTT ST
Second Line :
City : FOND DU LAC
State : WI
Zip : 54935-2342
Country : US
Telephone Number : 920-926-0101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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