Provider Demographics
NPI:1235898404
Name:HARRISON, SIERRA (CDCA, SWT)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:HARRISON
Suffix:
Gender:F
Credentials:CDCA, SWT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E COURT ST
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-3800
Mailing Address - Country:US
Mailing Address - Phone:419-584-5123
Mailing Address - Fax:
Practice Address - Street 1:500 E COURT ST
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-3800
Practice Address - Country:US
Practice Address - Phone:419-584-5123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-14
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator