Individual
MRS. PEONITA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
1740 RIDGE AVE, LL21, EVANSTON, IL 60201-5918
(847) 828-8196
Mailing address
1740 RIDGE AVE, EVANSTON, IL 60201-5918
(847) 828-8196
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000838
IL
Other
Enumeration date
07/30/2010
Last updated
08/23/2011
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