Individual
LISA R HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
1030 CENTRAL AVE, INDIANAPOLIS, IN 46202-2794
(574) 371-7224
Mailing address
965 N RITTER AVE, INDIANAPOLIS, IN 46219-4431
(574) 371-7224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002716A
IN
Other
Enumeration date
10/01/2012
Last updated
03/20/2024
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