Charles Harris in Fresno - Clinical

Charles Harris - NPI 1073524005

Charles Harris is a Clinical in Fresno, Texas. Charles Harris practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles Harris is 1073524005. The last update date is 2011-06-17.

Charles Harris's current location address is 1230 Magnolia Dale Drive, Fresno, Texas. You can contact this provider via phone number 8324740812 and fax number 2818883675. The mailing address for Charles Harris is 1230 Magnolia Dale Drive, Fresno, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Harris
Address 1230 Magnolia Dale Drive, Fresno, Texas
Phone Number 8324740812
Fax Number 2818883675
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1073524005
Provider Enumeration Date 2006-08-11
Last Updated Date 2011-06-17

Provider Mailing Address Detail

Address 1230 Magnolia Dale Drive
City Fresno
State Texas (TX)
Post Code 77545
Phone Number 8324740812
Fax Number 2818883675

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 35131
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
156608504 TX --
156608503 TX --

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FAQs about Charles Harris

What is the Charles Harris's 1073524005?

The Charles Harris's NPI (National Provider Identifier) Number is 1073524005. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Charles Harris's facilities are geographically located?

The facilities of Charles Harris are physically situated at the following location: 1230 Magnolia Dale Drive, Fresno, TX, 77545.

What is Charles Harris's specialized field of practice, and what is the corresponding taxonomy classification code?

The Charles Harris's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date did Charles Harris receive its 1073524005 assignment from the Centers for Medicare & Medicaid Services?

The Charles Harris was assigned its 1073524005 on 2006-08-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Charles Harris's details last updated?

The information pertaining to the Charles Harris, including its address, specialty, and other details, was most recently updated on 2011-06-17.

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