Ishma R Harris

Individual provider Active NPI Mental Health Counselor · Danielson, CT

NPI 1740061589 · NPPES record last updated Oct 9, 2023

Key facts

NPI
1740061589
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
71 Westcott Rd
Danielson, CT 06239-2929
Phone
(860) 731-5522
Fax
(860) 731-5536
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

71 Westcott Rd
Danielson, CT 06239-2929

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Phone (860) 731-5522

Other providers in Danielson, CT

All providers in Danielson, CT · Mental Health Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.