Individual provider · Type 1 NPI

Samuel Oliver Harrris

Mental Health Counselor · Fairview Heights, IL

NPI number 1992567531 Active

Practice location

8 Executive Dr
Fairview Heights, IL 62208-1345

Mailing address

5408 Nelson Ave
Cahokia Heights, IL 62207-2429

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992567531

Samuel Oliver Harrris's National Provider Identifier is 1992567531, issued on Jan 29, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairview Heights, IL. The record was last updated on Jan 29, 2024.