Individual
LARA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
421 PARK ST STE 1, CHARLOTTESVILLE, VA 22902-4749
(757) 788-1642
Mailing address
421 PARK ST STE 1, CHARLOTTESVILLE, VA 22902-4749
(757) 788-1642
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001570
VA
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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