Doctor Name: | MS. DENISE D HARRISON |
NPI Number: | 1255485314 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCAS |
License Number: | 1695 |
Business Practice Address: | 205 Locust St Spruce Pine, NC - 287772713 |
Business Phone Number: | 8284670037 |
Business Fax Number: | 8287079490 |
Mailing Address: | 205 Locust St, SPRUCE PINE |
State: | NC |
Postal Code: | 287772713 |
Phone Number: | 8284670037 |
Fax Number: | 8287079490 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 03/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |