Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | ||
N | 101YS0200X | School Counselor | C.1902073 | OH |
NPI | 1245883263 |
---|---|
Provider Name | Christina Renee Harris |
First Address | Moreland Hills, OH 44022-1391 |
Second Address | Beachwood, OH 44122-5535 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2019 |
Last Update Date | 18/07/2019 |