Doctor Name: | MS. DIANNAH CAROL HARRIS |
NPI Number: | 1164796991 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC, LCASA |
License Number: | |
Business Practice Address: | 401 E Main St Williamston, NC - 278922529 |
Business Phone Number: | 2528021946 |
Business Fax Number: | |
Mailing Address: | Po Box 1644, WILLIAMSTON |
State: | NC |
Postal Code: | 278926644 |
Phone Number: | 2528021946 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2012 |
NPI Last Update Date: | 04/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |