Individual
MRS. ELECTRA LUCETTE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, MENTAL HEALTH
Contact information
Practice address
10941 DOUGLAS LN N, CHAMPLIN, MN 55316-3563
(763) 777-1471
(763) 777-1471
Mailing address
10941 DOUGLAS LN N, CHAMPLIN, MN 55316-3563
(763) 777-1471
(763) 777-1471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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