Individual
CHEYENNE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC-MH
Contact information
Practice address
525 LIBERTY LN, EDMOND, OK 73034-9046
(405) 977-7238
Mailing address
2020 TIMBERVIEW DR, EDMOND, OK 73013-2736
(405) 977-7238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1325
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/06/2016
Last updated
04/05/2021
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