Provider Demographics
NPI:1083827661
Name:MORRIS, HARRY JACK (LCPC, LCMFT)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:JACK
Last Name:MORRIS
Suffix:
Gender:M
Credentials:LCPC, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 ENTERPRISE RD.
Mailing Address - Street 2:
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2213
Mailing Address - Country:US
Mailing Address - Phone:301-249-2255
Mailing Address - Fax:301-249-4392
Practice Address - Street 1:1701 ENTERPRISE RD.
Practice Address - Street 2:
Practice Address - City:MITCHELLVILLE
Practice Address - State:MD
Practice Address - Zip Code:20721-2213
Practice Address - Country:US
Practice Address - Phone:301-249-2255
Practice Address - Fax:301-249-4392
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCM018101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional