Provider Demographics
NPI:1982146437
Name:HARRISON, PAULA CHRISTINE (LMFT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:CHRISTINE
Last Name:HARRISON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2517 COPPER COVE DR
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-1160
Mailing Address - Country:US
Mailing Address - Phone:580-786-8127
Mailing Address - Fax:
Practice Address - Street 1:2517 COPPER COVE DR
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1160
Practice Address - Country:US
Practice Address - Phone:580-786-8127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLMFT 737101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health