Individual
MICHAEL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4601 EXCELSIOR BLVD STE 333, ST LOUIS PARK, MN 55416-5228
(612) 930-2505
Mailing address
PO BOX 8400, MINNEAPOLIS, MN 55408-8400
(612) 930-2505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2698
MN
101YP2500X
Professional Counselor
9246
ID
Other
Enumeration date
10/19/2022
Last updated
06/11/2024
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