Individual
MS. LONDON N HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
6110 FAWN MEADOWS DR, TEMPLE, TX 76502-7900
(254) 791-3192
Mailing address
213 S KINGS TRL, LITTLE RIVER ACADEMY, TX 76554-2852
(254) 791-3192
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15963
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000
NONE
—
Enumeration date
03/03/2022
Last updated
03/03/2022
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