Provider Demographics
NPI:1275923682
Name:HARRIS, JULIE (LPC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 COMMERCIAL ST SE STE 304
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3455
Mailing Address - Country:US
Mailing Address - Phone:541-263-0980
Mailing Address - Fax:971-240-5255
Practice Address - Street 1:780 COMMERCIAL ST SE STE 304
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3455
Practice Address - Country:US
Practice Address - Phone:541-263-0980
Practice Address - Fax:971-240-5255
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-23
Last Update Date:2023-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3032101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health