Individual
MR. ASHLEY WAYNE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-A
Contact information
Practice address
101 COLVARD ST, JEFFERSON, NC 28640-9797
(336) 246-4542
(336) 246-4542
Mailing address
101 COLVARD ST, JEFFERSON, NC 28640-9797
(336) 246-4542
(336) 246-2364
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12279
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
07/30/2008
Last updated
06/19/2019
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