Provider Demographics
NPI:1437291390
Name:HARRISON, ELIZABETH A (MFT)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:A
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 MILL ST.
Mailing Address - Street 2:CODE K8
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1474
Mailing Address - Country:US
Mailing Address - Phone:775-982-5320
Mailing Address - Fax:775-982-5690
Practice Address - Street 1:1155 MILL ST.
Practice Address - Street 2:CODE K8
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1474
Practice Address - Country:US
Practice Address - Phone:775-982-5320
Practice Address - Fax:775-982-5690
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7742106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV7742OtherMFT