Dejon Harris
Individual provider Active NPI Counselor · South Chesterfield, VA
NPI 1023529682 · NPPES record last updated Oct 22, 2017
Key facts
- NPI
- 1023529682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 20012 Loyal Ave
South Chesterfield, VA 23803-1622 - Phone
- (804) 210-0990
- NPI assigned
- Oct 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | VA | Yes |
Addresses
Primary practice location
20012 Loyal Ave
South Chesterfield, VA 23803-1622
Mailing address
20012 Loyal Ave
South Chesterfield, VA 23803-1622
Other providers in South Chesterfield, VA
- Deneen Green
- Latoya Green
- Growing Grounded Counseling PLLC
- Allyson Morriss Hall
- Ashley Dawn Halloway
- Latoya Harris
- Michelle Angela Harris
- Tinyia Harris
- Angela Harrison Jokodola
- Healthy Hearts Home Healthcare LLC
All providers in South Chesterfield, VA · Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.