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NPI Code Detail

MEDICARE: MS. PATRICIA HARRIS LPC

MEDICARE: MS. PATRICIA HARRIS 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
1101YP2500XProfessional Counselor76252TX
2101YM0800XMental Health Counselor76252TX

General Provider Information

NPI Number : 1457831414
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA HARRIS LPC
Provider Business Mailing Address
First Line : 3522 CARDUCCI DR
Second Line :
City : CONVERSE
State : TX
Zip : 78109-4452
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1777 NE LOOP 410 STE 600
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-5218
Country : US
Telephone Number : 210-884-5719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2018
Last Update Date : 12/02/2024

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Directions to “ MS. PATRICIA HARRIS LPC” Practice Location

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