Individual
TERESA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
790 63RD AVE S, SAINT PETERSBURG, FL 33705-5730
(202) 769-0591
Mailing address
790 63RD AVE S, SAINT PETERSBURG, FL 33705-5730
(727) 359-5477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP10990
MD
101YM0800X
Mental Health Counselor
MH22014
FL
101YP2500X
Professional Counselor
Primary
PRC200001727
DC
Other
Enumeration date
07/27/2022
Last updated
08/07/2023
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