Provider Demographics
NPI:1275659930
Name:HARMAN, DENNIS LEE (MA, LMFT, LPCC)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:LEE
Last Name:HARMAN
Suffix:
Gender:M
Credentials:MA, LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1545
Mailing Address - Street 2:131 EAST WEAVER CK RD
Mailing Address - City:WEAVERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:96093-1545
Mailing Address - Country:US
Mailing Address - Phone:530-410-1893
Mailing Address - Fax:530-623-3007
Practice Address - Street 1:112 MAIN ST.
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:CA
Practice Address - Zip Code:96093
Practice Address - Country:US
Practice Address - Phone:530-410-1893
Practice Address - Fax:530-623-3007
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 50923106H00000X
CALPCC 1307101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional