Individual
MICHELLE LYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 S PARK RD, CHARLESTON, WV 25304-2629
(304) 446-2336
(304) 410-0915
Mailing address
705 S PARK RD, CHARLESTON, WV 25304-2629
(304) 446-2336
(304) 446-2336
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-996SUD
WV
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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