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Antionetta Harris, CADC
Addiction (Substance Use Disorder) Counselor in Chicago, Illinois
NPI 1689962052

Antionetta Harris is an Addiction (Substance Use Disorder) Counselor based in Chicago, IL and is specialized in Addiction (Substance Use Disorder). Antionetta Harris practices in Chicago, IL and has the professional credentials of CADC. The NPI Number for Antionetta Harris is 1689962052 and holds a License No. 13390 (Illinois).

The current practice location address for Antionetta Harris is 4740 N Clark St, Chicago, IL and can be reached out via phone at 773-769-0205 and via fax at 773-765-0842.

Location: 4740 N Clark St, Chicago, IL, 60640-4689
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Provider Profile Details
NPI Number
1689962052
Provider Name
Antionetta Harris
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
4740 N Clark St, Chicago, IL, 60640-4689
Phone Number
773-769-0205
Fax Number
773-765-0842
Provider Enumeration Date
07/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1616824 01 IL BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4740 N Clark St
City
State
Zip
60640-4689
Phone Number
773-769-0205
Fax Number
773-765-0842
person
Provider Business Mailing Address Details
Address
4740 N Clark St
City
State
Zip
60640-4689
Phone Number
773-769-0205
Fax Number
773-765-0842
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13390 (Illinois)
Definition
Definition to come...
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