Provider Demographics
NPI:1932446770
Name:HARRIS, PARALEE VERONICA P (LPC)
Entity type:Individual
Prefix:MRS
First Name:PARALEE
Middle Name:VERONICA P
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8175 CREEKSIDE DR
Mailing Address - Street 2:264
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-5377
Mailing Address - Country:US
Mailing Address - Phone:269-372-5621
Mailing Address - Fax:
Practice Address - Street 1:97 S LAKE DOSTER DR
Practice Address - Street 2:
Practice Address - City:PLAINWELL
Practice Address - State:MI
Practice Address - Zip Code:49080-9109
Practice Address - Country:US
Practice Address - Phone:269-372-5621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401003864103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist