MEDICARE: JAMES EDWARD HARRIS JR. LPC

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
1	101YP2500X	Professional Counselor
2	101YP2500X	Professional Counselor	0701011620	VA

General Provider Information

NPI Number	:	1174257497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES EDWARD HARRIS JR. LPC

Provider Business Mailing Address
First Line	:	916 N ARTHUR ASHE BLVD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-4802
Country	:	US
Telephone Number	:	804-304-3161
Fax Number	:

Provider Business Practice Location Address
First Line	:	916 N ARTHUR ASHE BLVD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-4802
Country	:	US
Telephone Number	:	804-304-3161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2022
Last Update Date	:	03/03/2023

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Directions to “ JAMES EDWARD HARRIS JR. LPC” Practice Location

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