Individual
PATRICIA RENE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9390 FORD AVE STE 7B, RICHMOND HILL, GA 31324-6420
(912) 658-7352
Mailing address
805 RUSHING ST, RICHMOND HILL, GA 31324-6445
(912) 658-7352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC005252
GA
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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