Individual
MISS DADRON DEON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
670 THORNTON WAY STE A, LITHIA SPRINGS, GA 30122-2608
(404) 375-2694
(877) 743-3508
Mailing address
2000 OAKLEAF LN, LITHIA SPRINGS, GA 30122-2927
(404) 955-0562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
101YP1600X
Pastoral Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003174290A
—
GA
Enumeration date
07/21/2014
Last updated
06/24/2021
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