Provider Demographics
NPI:1407948557
Name:HARRIS, JAMES REGINALD (LMFT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:REGINALD
Last Name:HARRIS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28232 SORRENTO UNIT 86
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-4583
Mailing Address - Country:US
Mailing Address - Phone:949-599-8724
Mailing Address - Fax:
Practice Address - Street 1:28232 SORRENTO UNIT 86
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-4583
Practice Address - Country:US
Practice Address - Phone:949-599-8724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA115694106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist