Organization
STEPHANIE N HARRIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE NICOLE HARRIS M.A. (LICENSED PROFESSIONAL COUNSELOR)
(802) 922-0161
Entity
Organization
Contact information
Practice address
1623 N WESTERN AVE, CHICAGO, IL 60647-5321
(802) 922-0161
Mailing address
1819 N FRANCISCO AVE, APT 1, CHICAGO, IL 60647-5119
(802) 922-0161
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
178011026
IL
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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