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NPI Code Detail

MEDICARE: MRS. LANITRA BONNIE JEAN HARRIS

MEDICARE: MRS. LANITRA BONNIE JEAN HARRIS
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 Therapist141996CA
2101YP2500XProfessional Counselor14844CA

General Provider Information

NPI Number : 1598387987
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LANITRA BONNIE JEAN HARRIS
Provider Business Mailing Address
First Line : 2127 ARNOLD WAY # 1498
Second Line :
City : ALPINE
State : CA
Zip : 91901-2157
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8760 CUYAMACA ST STE 100
Second Line :
City : SANTEE
State : CA
Zip : 92071-4256
Country : US
Telephone Number : 619-383-6868
Fax Number : 619-330-2760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2020
Last Update Date : 02/19/2026

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Directions to “ MRS. LANITRA BONNIE JEAN HARRIS ” Practice Location

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