Doctor Name: | MRS. HONOR HILLARY HARRIS |
NPI Number: | 1134305139 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LMSW |
License Number: | LCSW-28683 |
Business Practice Address: | 1815 N Princeton Way Eagle, ID - 836163953 |
Business Phone Number: | 2083437970 |
Business Fax Number: | 2083437970 |
Mailing Address: | 1815 N Princeton Way, EAGLE |
State: | ID |
Postal Code: | 836163953 |
Phone Number: | 2083437970 |
Fax Number: | 2083437970 |
NPI Enumeration Date: | 01/21/2008 |
NPI Last Update Date: | 01/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCSW-28683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |