Individual
DESTINI HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2414 W BARNETT SPRINGS AVE, RUSTON, LA 71270-9003
(870) 951-0430
Mailing address
2414 W BARNETT SPRINGS AVE, RUSTON, LA 71270-9003
(870) 951-0430
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
02/27/2023
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