Harris, Evan

Harris, Evan is an individual health care provider with primary practice located at 100 19Th St Ste 102 , Rock Island IL 61201-8022. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Harris, Evan can be contacted via phone (309) 236-9553.

Contact Information

Primary practice address
100 19Th St Ste 102 Rock Island IL 61201-8022
Phone: (309) 236-9553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 008410 Iowa
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.019633 Illinois

Profile Details

NPI number 1194231019
LBN Legal business name Harris, Evan
Credentials LCSW, LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2017
Last updated Mar 17th, 2018 - 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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