Individual
DEBORAH J HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
820 STATELINE RD STE B, COLCORD, OK 74338-1348
(479) 524-0477
Mailing address
820 STATELINE RD STE B, COLCORD, OK 74338-1348
(479) 524-0477
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
P0406024
AR
101YM0800X
Mental Health Counselor
P0406024
AR
101YP2500X
Professional Counselor
Primary
P0406024
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200321170A
—
OK
Enumeration date
01/27/2011
Last updated
07/31/2012
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