Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Andrea Denise Harris, SUDRC1665510/27/23

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1801652300

Miss. Andrea Denise Harris, SUDRC1665510/27/23 is an Addiction (Substance Use Disorder) Counselor in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1601 2nd St
San Rafael, CA 94901-2712
Phone: (415) 459-2395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 16655 (CA)

Record details

NPI number1801652300
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC1665510/27/23
Sole proprietorYes
NPI enumeratedFebruary 22, 2024
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

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