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NPI Code Detail

MEDICARE: SHELIALANNA L HARRIS LMFT

MEDICARE: SHELIALANNA L HARRIS LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFC 51623CA

General Provider Information

NPI Number : 1114116886
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELIALANNA L HARRIS LMFT
Provider Business Mailing Address
First Line : 1521 UNIVERSITY AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94703-1422
Country : US
Telephone Number : 510-981-5280
Fax Number :
Provider Business Practice Location Address
First Line : 1521 UNIVERSITY AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94703-1422
Country : US
Telephone Number : 510-981-5280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2007
Last Update Date : 12/23/2022

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Directions to “ SHELIALANNA L HARRIS LMFT” Practice Location

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