Individual
ISASC M HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2625 N PEORIA AVE, TULSA, OK 74106-2512
(918) 794-0197
(918) 794-0196
Mailing address
2625 N PEORIA AVE, TULSA, OK 74106-2512
(918) 794-0197
(918) 794-0196
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4797
OK
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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