Provider Demographics
NPI:1538184601
Name:HARRIS, HELEN A (LMFT)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:A
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5905 SOQUEL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SOQUEL
Mailing Address - State:CA
Mailing Address - Zip Code:95073-2860
Mailing Address - Country:US
Mailing Address - Phone:831-464-0456
Mailing Address - Fax:831-464-0456
Practice Address - Street 1:5905 SOQUEL DR STE 300
Practice Address - Street 2:
Practice Address - City:SOQUEL
Practice Address - State:CA
Practice Address - Zip Code:95073-2860
Practice Address - Country:US
Practice Address - Phone:831-464-0456
Practice Address - Fax:831-464-0456
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC25548106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist