Individual provider · Type 1 NPI
Michaela Blaire Harrison, LCPC
Professional Counselor · Fairfield, IL
NPI number
1962012260
Active
Practice location
9 Fawn Dr
Fairfield, IL 62837-2800
Fax (877) 681-0190
Other practice locations
- 2020 Broadway St Ste A, Mount Vernon, IL 62864-2973 · (618) 718-1114
- 215 SE 3rd St, Fairfield, IL 62837-2160 · (618) 718-1114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180013059 (IL) |
| Mental Health Counselor | 101YM0800X | 180013059 (IL) |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Fairfield
About NPI 1962012260
Michaela Blaire Harrison, LCPC's National Provider Identifier is 1962012260, issued on Aug 3, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfield, IL. The record was last updated on Oct 10, 2025.