Kourtney Alexandria Harris, is a
Counselor - Addiction (substance Use Disorder) based in Pembroke, North Carolina. Kourtney Alexandria Harris is licensed to practice in North Carolina (license number LCAS-24288) and her current practice location is
309 E Wardell Dr, Pembroke, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 521-1464.
NPI number for Kourtney Alexandria Harris is 1255996534 and her current mailing address is 60 Commerce Plaza Cir, Pembroke, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255996534.
Healthcare Provider's Profile
| Full Name | Kourtney Alexandria Harris |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 309 E Wardell Dr, Pembroke, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255996534
- Provider Enumeration Date: 05/02/2019
- Last Update Date: 05/02/2019
Medical Identifiers
Medical identifiers for Kourtney Alexandria Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255996534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | P012087 (North Carolina) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-24288 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kourtney Alexandria Harris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kourtney Alexandria Harris,
60 Commerce Plaza Cir,
Pembroke, NC 28372-7386
Ph: (910) 521-2900 | Kourtney Alexandria Harris,
309 E Wardell Dr,
Pembroke, NC 28372-7998
Ph: (910) 521-1464 |
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