Individual
MS. CANDY L HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4017 NORTH AVE APT 1, RICHMOND, VA 23222-1149
(804) 401-2887
Mailing address
4017 NORTH AVE APT 1, RICHMOND, VA 23222-1149
(804) 401-2887
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30009765
LIFE COACH
VA
Enumeration date
11/11/2020
Last updated
11/11/2020
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