Provider Demographics
NPI:1396174603
Name:HARLOW, JAMES (LPC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:HARLOW
Suffix:
Gender:M
Credentials:LPC
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 1412
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-1412
Mailing Address - Country:US
Mailing Address - Phone:214-683-6800
Mailing Address - Fax:
Practice Address - Street 1:3530 FOREST LN
Practice Address - Street 2:SUITE 326
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7910
Practice Address - Country:US
Practice Address - Phone:214-683-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66011101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor