DEAN HARRIS BA CADC MISAI MHP NPI 1346205259

NPI Information

NPI: 1346205259
Provider Name: DEAN HARRIS, BA CADC MISAI MHP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3248 VANDEVER
PEKIN, IL
ZIP 61554
Phone: (309) 347-5522
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Dean Harris, BA CADC MISAI MHP is a mental health counselor in Pekin, IL. Dean Harris, BA CADC MISAI MHP NPI is 1346205259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3248 VANDEVER
PEKIN, IL
ZIP 61554
Phone: (309) 347-5522
Fax: (309) 347-7302

The enumeration date for this NPI number is 4/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	16757	OTHER	ILLINOIS	CADC IAOCAPCA
2	16757	OTHER	ILLINOIS	MISAI IAOCAPCA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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