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Thomas Benjamin Harris, PLPC

Counselor, Professional in O Fallon, MO. Individual provider (NPI-1).

NPI number1801314331
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1801314331
Entity type
Individual (NPI-1)
Name
Thomas Benjamin Harris
Credential
PLPC
Sex
Male
Sole proprietor
No
Enumeration date
Sep 5, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional2016014344MOYes

Practice location

4132 Keaton Crossing Blvd Ste 204
O Fallon, MO 63368-8223

Phone 636-627-9136

Mailing address

4132 Keaton Crossing Blvd Ste 204
O Fallon, MO 63368-8223

Phone 636-627-9136

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