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Michaela Blaire Harrison, LCPC
Professional Counselor in Fairfield, Illinois
NPI 1962012260

Michaela Blaire Harrison is a Professional Counselor based in Fairfield, IL and is specialized in Professional. Michaela Blaire Harrison practices in Fairfield, IL and has the professional credentials of LCPC. The NPI Number for Michaela Blaire Harrison is 1962012260 and holds a License No. 180013059 (Illinois).

The current practice location address for Michaela Blaire Harrison is 213 Nw 10Th St Ste A, Fairfield, IL and can be reached out via phone at 618-842-4617.

Location: 213 Nw 10Th St Ste A, Fairfield, IL, 62837-1219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962012260
Provider Name
Michaela Blaire Harrison
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
213 Nw 10Th St Ste A, Fairfield, IL, 62837-1219
Phone Number
618-842-4617
Fax Number
Provider Enumeration Date
08/03/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180013059 05 IL
institution
Provider Business Practice Location Address Details
Address
213 Nw 10Th St Ste A
City
Fairfield
State
Illinois
Zip
62837-1219
Phone Number
618-842-4617
Fax Number
person
Provider Business Mailing Address Details
Address
213 Nw 10Th St Ste A
City
Fairfield
State
Illinois
Zip
62837-1219
Phone Number
618-842-4617
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180013059 (Illinois)
Definition
Definition to come...
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