Individual provider · Type 1 NPI
Electra Lucette Harris, LADC, MENTAL HEALTH
Mental Health Counselor · Champlin, MN
NPI number
1053201095
Active
Practice location
10941 Douglas Ln N
Champlin, MN 55316-3563
Fax (763) 777-1471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1053201095
Electra Lucette Harris, LADC, MENTAL HEALTH's National Provider Identifier is 1053201095, issued on Jul 9, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champlin, MN. The record was last updated on Jul 9, 2025.