Individual
PHILLIP SCOTT HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5861 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-1653
(612) 202-8703
Mailing address
7430 128TH ST W APT 307, APPLE VALLEY, MN 55124-7503
(651) 239-5556
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
10/09/2024
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