Individual
DWAYNE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
416 MCCULLOUGH DR STE 100, CHARLOTTE, NC 28262-4386
(704) 237-4240
Mailing address
303 FERRELL AVE, CHARLOTTE, NC 28216-3185
(909) 214-9663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A14651
NC
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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