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Individual

MR. EUGENE HARRIS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCP, LCPC

Contact information

Practice address
4496 DODDS MILL DR, HAYMARKET, VA 20169-8193
(910) 489-4014
(703) 753-0405
Mailing address
4496 DODDS MILL DR, HAYMARKET, VA 20169-8193
(910) 489-4014

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC7995
MD
101Y00000X
Counselor
Primary
101YP2500X
Professional Counselor
0701008614
VA

Other

Enumeration date
05/05/2014
Last updated
03/03/2022
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