Individual
ALISSA RAE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBA, LMHC
Contact information
Practice address
161 S WAKEA AVE, KAHULUI, HI 96732-1343
(808) 244-7467
Mailing address
1102 MOLE PL, MAKAWAO, HI 96768-9349
(808) 868-9536
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
MHC-845
HI
103K00000X
Behavior Analyst
Primary
227
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922870302
—
HI
Enumeration date
04/11/2018
Last updated
12/12/2023
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