Individual
LATISHA N HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
805 S CHURCH ST STE 15, MURFREESBORO, TN 37130-4917
(615) 410-7294
Mailing address
805 S CHURCH ST STE 15, MURFREESBORO, TN 37130-4917
(615) 410-7294
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5930
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5930
LICENSE
TN
Enumeration date
09/29/2022
Last updated
09/29/2022
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