Harris, Diane M

Harris, Diane M is an sole proprietor health care provider with primary practice located at 836 Main St , Westbrook ME 04092-2861. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Harris, Diane M can be contacted via phone (207) 653-7885.

Contact Information

Primary practice address
836 Main St Westbrook ME 04092-2861
Phone: (207) 653-7885
Fax: (207) 892-2950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC2976 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC10208 Maine

Profile Details

NPI number 1184734170
LBN Legal business name Harris, Diane M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Dec 28th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184734170 NPPES
Maine Other 247560099 MAINECARE

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