Individual provider · Type 1 NPI
Antionette Michelle Harris, PPC
Professional Counselor · Gillette, WY
NPI number
1366833832
Active
Practice location
1001 S Douglas Hwy Ste 110
Gillette, WY 82716-4951
Mailing address
2306 Big Lost Dr
Gillette, WY 82718-3605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PPC-872 (WY) |
Professional Counselor: Definition to come...
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About NPI 1366833832
Antionette Michelle Harris, PPC's National Provider Identifier is 1366833832, issued on Feb 5, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gillette, WY. The record was last updated on Feb 8, 2015.