Provider Demographics
NPI:1750578340
Name:HARRISON, TERIANNE (MA, MFT)
Entity type:Individual
Prefix:
First Name:TERIANNE
Middle Name:
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MA, MFT
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 8877
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89507-8877
Mailing Address - Country:US
Mailing Address - Phone:775-544-5222
Mailing Address - Fax:
Practice Address - Street 1:421 HILL ST STE 1
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-1841
Practice Address - Country:US
Practice Address - Phone:775-391-0099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional