Most Relevant Information
Provider Data
| NPI Number: | 1003315755 |
| Provider Name: | KRYSTAL HARRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/08/2018 |
| Last Updated: | 02/08/2018 |
Provider Practice Location
427 W TUNNEL BLVD
HOUMA
LA
703605591
Practice Location Phone/Fax
| Phone: | 9857465681 |
| Fax: |
Provider Mailing Location
427 W TUNNEL BLVD
HOUMA
LA
703605591
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |