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NPI Code Detail

MEDICARE: MRS. LINDA ROBERTSON HARRIS MA LPC NCC NCSC

MEDICARE:  MRS. LINDA ROBERTSON HARRIS  MA LPC NCC NCSC
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
1101YS0200XSchool Counselor186NC

General Provider Information

NPI Number : 1336315159
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA ROBERTSON HARRIS MA LPC NCC NCSC
Provider Business Mailing Address
First Line : 6200 BINGHAM AVENUE
Second Line :
City : CLEMMONS
State : NC
Zip : 27012-9480
Country : US
Telephone Number : 336-712-4444
Fax Number : 336-712-4420
Provider Business Practice Location Address
First Line : 6200 BINGHAM AVENUE
Second Line :
City : CLEMMONS
State : NC
Zip : 27012-9480
Country : US
Telephone Number : 336-712-4444
Fax Number : 336-712-4420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2008
Last Update Date : 05/01/2008

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Directions to “ MRS. LINDA ROBERTSON HARRIS MA LPC NCC NCSC” Practice Location

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