Provider Demographics
NPI:1609451285
Name:HARRIS, NEAL (LCPC)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:
Last Name:HARRIS
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26402 N EDGEMOND LN
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-2419
Mailing Address - Country:US
Mailing Address - Phone:847-842-1752
Mailing Address - Fax:
Practice Address - Street 1:26402 N EDGEMOND LN
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-2419
Practice Address - Country:US
Practice Address - Phone:847-842-1752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180001053101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health