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NPI Code Detail

MEDICARE: SHARON ILENE HARRIS MS, MFT, LADC

MEDICARE: SHARON ILENE HARRIS MS, MFT, LADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor1069NV
2106H00000XMarriage & Family Therapist0902NV

General Provider Information

NPI Number : 1962569723
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON ILENE HARRIS MS, MFT, LADC
Provider Business Mailing Address
First Line : 9402 W LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-8312
Country : US
Telephone Number : 702-254-9883
Fax Number : 702-254-7830
Provider Business Practice Location Address
First Line : 9402 W LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-8312
Country : US
Telephone Number : 702-254-9883
Fax Number : 702-254-7830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 09/11/2025

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