Provider Information for 1699229104
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ALEXIS M HARBISON LPCC
Sex: Female
NPI: 1699229104
Last Updated: 2021-01-28
Certification Date: 2021-01-28
Certification Date: 2021-01-28
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1699229104 | ||||||||||||
| Enumeration Date | 2016-08-12 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 26335 TROTWOOD, OH 45426-0335 United States Phone: 614-738-3821 | Fax: | ||||||||||||
| Primary Practice Address | 4100 W 3RD ST DAYTON, OH 45428-9000 United States Phone: 937-268-6511 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 4769 FREE PIKE | ||||||||||||
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