Stephanie Harris
Counselor, Professional in Chicago, IL. Individual provider (NPI-1).
NPI number1396217543
StatusActive
Last updated in NPPESNov 2, 2022
Details
- NPI
- 1396217543
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Harris
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2018
- Certification date
- Nov 2, 2022
- Last updated
- Nov 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180.011046 | IL | Yes |
| 101YM0800X | Counselor, Mental Health | 180.011046 | IL |
Practice location
1623 N Western AveChicago, IL 60647-5321
Phone 802-922-0161
Mailing address
1623 N Western AveChicago, IL 60647-5321
Phone 802-922-0161
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