TODD WILLIAM HARRIS
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1114814241- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 145 E DEER FLAT RD, KUNA, ID, 836341323
- Phone
- (208) 922-9001
- Fax
- (208) 922-3778
Specialties & Taxonomies
Counselor, Professional
Primary License: ID #4375160
All Addresses
MAILING
145 E DEER FLAT RD
KUNA, ID, 836341323