Provider Demographics
NPI:1588627285
Name:HARRO, DWIGHT H (LMFT, MAC)
Entity type:Individual
Prefix:MR
First Name:DWIGHT
Middle Name:H
Last Name:HARRO
Suffix:
Gender:M
Credentials:LMFT, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 HEMLOCK RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1809
Mailing Address - Country:US
Mailing Address - Phone:910-580-2951
Mailing Address - Fax:804-734-9193
Practice Address - Street 1:700 24TH ST
Practice Address - Street 2:DEPARTMENT OF THE ARMY USA MEDDAC ATTN: MCXO-ASAP
Practice Address - City:FORT LEE
Practice Address - State:VA
Practice Address - Zip Code:23801-1716
Practice Address - Country:US
Practice Address - Phone:804-734-9942
Practice Address - Fax:804-874-1008
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC620106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist