Provider Demographics
NPI:1255485314
Name:HARRISON, DENISE D (LCAS)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:D
Last Name:HARRISON
Suffix:
Gender:F
Credentials:LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:SPRUCE PINE
Mailing Address - State:NC
Mailing Address - Zip Code:28777-2713
Mailing Address - Country:US
Mailing Address - Phone:828-467-0037
Mailing Address - Fax:828-707-9490
Practice Address - Street 1:205 LOCUST ST
Practice Address - Street 2:
Practice Address - City:SPRUCE PINE
Practice Address - State:NC
Practice Address - Zip Code:28777-2713
Practice Address - Country:US
Practice Address - Phone:828-467-0037
Practice Address - Fax:828-707-9490
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1695101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)