Individual
FATIMA LAQUITA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5328 W MARKET ST APT 12D, GREENSBORO, NC 27409-4214
(704) 761-8455
Mailing address
5328 W MARKET ST APT 12D, GREENSBORO, NC 27409-4214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS29489
NC
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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