Individual
BEVERLY JANE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., LPCI
Contact information
Practice address
8035 E R L THORNTON FWY, SUITE #503, DALLAS, TX 75228-7018
(214) 319-9200
Mailing address
18829 TUPELO LN, DALLAS, TX 75287-2024
(972) 765-0273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
65188
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
517897
TX
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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