| Doctor Name: | LINDA HARRISON |
| NPI Number: | 1639348642 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 4845 |
| Business Practice Address: | 457 Sugar Creek Rd Leicester, NC - 287485512 |
| Business Phone Number: | 8283501000 |
| Business Fax Number: | 8283501723 |
| Mailing Address: | 457 Sugar Creek Rd, LEICESTER |
| State: | NC |
| Postal Code: | 287485512 |
| Phone Number: | 8283501000 |
| Fax Number: | 8283501723 |
| NPI Enumeration Date: | 02/23/2008 |
| NPI Last Update Date: | 12/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4845 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |