Individual
BRANDI K HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6815 ISAACS ORCHARD RD, SUITE B1, SPRINGDALE, AR 72762-6324
(918) 261-3194
(877) 884-4583
Mailing address
6815 ISAACS ORCHARD RD, SUITE B1, SPRINGDALE, AR 72762-6324
(918) 261-3194
(877) 884-4583
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1510114
AR
106H00000X
Marriage & Family Therapist
987
OK
106H00000X
Marriage & Family Therapist
M1510008
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200311390A
—
OK
Enumeration date
01/07/2010
Last updated
10/27/2015
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