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Individual

MS. WHITNEY W. HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
4460 CENTRAL WAY, CHUBBUCK, ID 83202-5095
(208) 237-3991
Mailing address
217 E PUTNAM MOUNTAIN LOOP, INKOM, ID 83245-1767
(208) 540-2931

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4381
ID

Other

Enumeration date
01/07/2010
Last updated
02/09/2023
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