Individual
MS. MADALYNE SUZANNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP9996
MD
101YP2500X
Professional Counselor
Primary
LC13021
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
03/12/2020
Last updated
06/16/2025
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