Doctor Name: | SARA HARBISON |
NPI Number: | 1689090946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2014000914 |
Business Practice Address: | 741 N Business Route 5 Camdenton, MO - 650202643 |
Business Phone Number: | 5733179100 |
Business Fax Number: | |
Mailing Address: | 61 Summer St, LAKE OZARK |
State: | MO |
Postal Code: | 650495050 |
Phone Number: | 5736921873 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2014 |
NPI Last Update Date: | 03/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2014000914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |