Provider Demographics
NPI:1225101769
Name:HARRIS, ANNE M (MS, LPC, BCPC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MS, LPC, BCPC
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:M
Other - Last Name:SPENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:300 TACONITE ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HURLEY
Mailing Address - State:WI
Mailing Address - Zip Code:54534-1546
Mailing Address - Country:US
Mailing Address - Phone:715-561-3636
Mailing Address - Fax:715-561-2128
Practice Address - Street 1:300 TACONITE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:HURLEY
Practice Address - State:WI
Practice Address - Zip Code:54534-1546
Practice Address - Country:US
Practice Address - Phone:715-561-3636
Practice Address - Fax:715-561-2128
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3873-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional