| Doctor Name: | MARVA ALBERTHA HARRIS |
| NPI Number: | 1003010547 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 4335 Swift Ave San Diego, CA - 921046613 |
| Business Phone Number: | 6193585665 |
| Business Fax Number: | 6193585665 |
| Mailing Address: | 4974 El Cajon Blvd, Suite A SAN DIEGO |
| State: | CA |
| Postal Code: | 921154677 |
| Phone Number: | 6192864600 |
| Fax Number: | 6192860060 |
| NPI Enumeration Date: | 06/11/2007 |
| NPI Last Update Date: | 02/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |