Doctor Name: | NGOZI HARRIS |
NPI Number: | 1023476769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 180.009873 |
Business Practice Address: | 12510 Vincennes Rd Unit 4 Blue Island, IL - 604061674 |
Business Phone Number: | 7086919424 |
Business Fax Number: | |
Mailing Address: | 12510 Vincennes Rd, Unit 4 BLUE ISLAND |
State: | IL |
Postal Code: | 604061674 |
Phone Number: | 7086919424 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2016 |
NPI Last Update Date: | 02/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 180.009873 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |