Provider Demographics
NPI:1003377110
Name:HARRIS, DANIEL (LCADC, LPC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:HARRIS
Suffix:
Gender:M
Credentials:LCADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2945 HATCHERS RUN
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-2055
Mailing Address - Country:US
Mailing Address - Phone:973-267-6000
Mailing Address - Fax:
Practice Address - Street 1:212 DIVISION ST
Practice Address - Street 2:
Practice Address - City:BOONTON
Practice Address - State:NJ
Practice Address - Zip Code:07005-1738
Practice Address - Country:US
Practice Address - Phone:973-267-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00799400101YM0800X
NJ37LC00292200101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health