Individual
TERA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6603 IRONGATE SQ STE A, NORTH CHESTERFIELD, VA 23234-6081
(804) 743-0960
Mailing address
6603 IRONGATE SQ STE A, NORTH CHESTERFIELD, VA 23234-6081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701007163
VA
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
0701007163
VA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/14/2019
Last updated
11/27/2023
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