Individual provider · Type 1 NPI
India Evon Harris
Professional Counselor · Smyrna, GA
NPI number
1104415975
Active
Practice location
329 Diane Dr SE
Smyrna, GA 30082-2113
Fax (470) 826-4096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | APC007312 (GA) |
| Professional Counselor Primary | 101YP2500X | LPC012745 (GA) |
Professional Counselor: Definition to come...
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About NPI 1104415975
India Evon Harris's National Provider Identifier is 1104415975, issued on Jan 15, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Smyrna, GA. The record was last updated on Jul 18, 2024.