Individual
MR. ANTHONY E HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
619 N BROADVIEW ST, CAPE GIRARDEAU, MO 63701-4313
(573) 334-3486
(573) 334-3524
Mailing address
541 BOGEY LN, JACKSON, MO 63755-3266
(573) 243-1374
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002744
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189490
BLUE CROSS BLUE SHIELD
MO
01
—
448322
HEALTHLINK
—
Enumeration date
07/17/2006
Last updated
07/08/2007
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