Individual
MR. JOHN MARK HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMHP, CSW
Contact information
Practice address
645 S 78TH ST, OMAHA, NE 68114-5403
(402) 397-7618
Mailing address
645 S 78TH ST, OMAHA, NE 68114-5403
(402) 397-7618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2859
NE
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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