Doctor Name: | MRS. LAURA MCRAE HARRIS |
NPI Number: | 1134574130 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC, LPCA |
License Number: | A12256 |
Business Practice Address: | 2202 Fayetteville Road Rockingham, NC - 28379 |
Business Phone Number: | 9109952389 |
Business Fax Number: | 9109975290 |
Mailing Address: | Po Box 155, ROCKINGHAM |
State: | NC |
Postal Code: | 283800155 |
Phone Number: | 9109952389 |
Fax Number: | 9109975290 |
NPI Enumeration Date: | 04/27/2016 |
NPI Last Update Date: | 04/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | A12256 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |