Provider Demographics
NPI:1720867856
Name:HARSH, CHRISTOPHER DAVIS (MS, COUNSELING)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DAVIS
Last Name:HARSH
Suffix:
Gender:M
Credentials:MS, COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 LAUREL ST APT 8
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-7731
Mailing Address - Country:US
Mailing Address - Phone:515-401-3853
Mailing Address - Fax:
Practice Address - Street 1:1200 VALLEY WEST DR STE 700
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1907
Practice Address - Country:US
Practice Address - Phone:515-225-4006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA122390101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health