Harris, Connie Jo

Harris, Connie Jo is an individual health care provider with primary practice located at 1215 Sw G St , Grants Pass OR 97526-2544. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Harris, Connie Jo can be contacted via phone (541) 476-2373.

Contact Information

Primary practice address
1215 Sw G St Grants Pass OR 97526-2544
Phone: (541) 476-2373
Fax: (541) 476-1526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 854 Oregon

Profile Details

NPI number 1033499728
LBN Legal business name Harris, Connie Jo
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2011
Last updated Aug 25th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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