Individual
ELIZABETH DOHERTY HARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
417 KILDAIRE FARM RD, CARY, NC 27511-3433
(919) 601-4207
Mailing address
2113 BALBOA RD, RALEIGH, NC 27603-2603
(919) 601-4207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11243
NC
101YP2500X
Professional Counselor
A11243
NC
Other
Enumeration date
07/08/2018
Last updated
03/20/2021
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