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Individual

MRS. TINA MARIE HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4503 JENNIFER LANE, HAYMARKET, VA 20169
(571) 249-3303
Mailing address
4625 SUDLEY RD UNIT 15, CATHARPIN, VA 20143-4000
(571) 249-3303

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701011234
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1528619137
OTHER INSURANCES
VA
Enumeration date
09/25/2019
Last updated
11/17/2022
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