Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | CT |
NPI | 1023603222 |
---|---|
Provider Name | Sherri Lavonne Harris |
First Address | Chesapeake, VA 23320-3393 |
Second Address | Chesapeake, VA 23323-4041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2021 |
Last Update Date | 09/03/2021 |