Individual
NATASHA F HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRIMARY THERAPIST, L
Contact information
Practice address
1502 MARY KAY BLVD, BENTON, AR 72015-7201
(501) 315-3344
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 303-3105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A1705207
AR
101YM0800X
Mental Health Counselor
Primary
P2001010
AR
101YP2500X
Professional Counselor
LAC
AR
Other
Enumeration date
05/24/2017
Last updated
07/29/2020
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