Doctor Name: | DEBBIE S. HARRISON |
NPI Number: | 1043541212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, MHSP |
License Number: | 0000001777 |
Business Practice Address: | 8829 Centre St Southaven, MS - 386712610 |
Business Phone Number: | 6622805758 |
Business Fax Number: | 6622805708 |
Mailing Address: | 8829 Centre St, SOUTHAVEN |
State: | MS |
Postal Code: | 386712610 |
Phone Number: | 6622805758 |
Fax Number: | 6622805708 |
NPI Enumeration Date: | 01/27/2010 |
NPI Last Update Date: | 01/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0000001777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |