Provider Demographics
NPI:1407004260
Name:HARRIS, DEBRA A (LPC)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:A
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 1:1125 SPRING RD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-1421
Mailing Address - Country:US
Mailing Address - Phone:202-576-8922
Mailing Address - Fax:202-576-3203
Practice Address - Street 1:1125 SPRING RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-1421
Practice Address - Country:US
Practice Address - Phone:202-576-8922
Practice Address - Fax:202-576-3203
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC437101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional