Doctor Name: | LAURICE D HARRISON |
NPI Number: | 1013349406 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4438 |
Business Practice Address: | 37383 Saint Marie Ave Prairieville, LA - 707694491 |
Business Phone Number: | 2259782824 |
Business Fax Number: | |
Mailing Address: | 37383 Saint Marie Ave, PRAIRIEVILLE |
State: | LA |
Postal Code: | 707694491 |
Phone Number: | 2259782824 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2013 |
NPI Last Update Date: | 08/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |