Individual
SUSAN NAGLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0080601
NM
101YP2500X
Professional Counselor
0080601
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29885566
—
NM
Enumeration date
04/14/2007
Last updated
05/03/2022
Update your record
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