Individual
MRS. SHANTAE RAVEN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
554 INDIAN CV, CORDOVA, TN 38018-7675
(901) 426-5466
Mailing address
554 INDIAN CV, CORDOVA, TN 38018-7675
(719) 321-8282
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LMT0000002344
TN
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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