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NPI Code Detail

MEDICARE: GILLIAN M HARRIS

MEDICARE: GILLIAN M 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
1101Y00000XCounselor
2101YP2500XProfessional CounselorLC9740MD

General Provider Information

NPI Number : 1649760893
Entity Type Code : Individual
Provider Name (Legal Business Name) : GILLIAN M HARRIS
Provider Business Mailing Address
First Line : 521 CHATTERMARK CT
Second Line :
City : WESTMINSTER
State : MD
Zip : 21158-9485
Country : US
Telephone Number : 443-929-9245
Fax Number :
Provider Business Practice Location Address
First Line : 181 E MAIN ST STE 5
Second Line :
City : WESTMINSTER
State : MD
Zip : 21157-6195
Country : US
Telephone Number : 443-929-9245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2018
Last Update Date : 06/30/2021

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Directions to “ GILLIAN M HARRIS ” Practice Location

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