Individual
MS. LAKISHA MARIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
10130 MALLARD CREEK RD, SUITE 300, CHARLOTTE, NC 28262-6000
(980) 533-1131
Mailing address
10130 MALLARD CREEK RD, SUITE 300, CHARLOTTE, NC 28262-6000
(980) 533-1131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A10846
NC
101YM0800X
Mental Health Counselor
A10846
NC
101YP2500X
Professional Counselor
A10846
NC
251S00000X
Community/Behavioral Health Agency
A10846
NC
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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