| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GIDEON REED HARRIS | 1386248227 | 2020-11-22 |
| Entity Type | Individual |
| Provider Name | Gideon Reed Harris MAC, LPC ASSOCIATE |
| Other Provider Name | Gideon Reed Harris |
| Practice Office Address | 6075 WEGNER RD NEW BRAUNFELS, TX US |
| Practice Office Telephone | 2104804260 |
| Mailing Address | 6075 WEGNER RD NEW BRAUNFELS, TX 781322431 US |
| Business Telephone | 2104804260 |
| Code | License No | State |
|---|---|---|
| 101YP2500X PRIMARY | 81186 | TX |