Individual
ANNALISE HARNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8150 N CENTRAL EXPY # M-1065, DALLAS, TX 75206-1815
(214) 736-9995
Mailing address
8150 N CENTRAL EXPY # M-1065, DALLAS, TX 75206-1815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
80204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25515911
DRIVERS LICENSE
TX
Enumeration date
07/20/2021
Last updated
07/20/2021
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