| Benjamin G. Harris, M.a., Lcpc, Ltd. | |
|
3333 Warrenville Rd Ste 200 Lisle IL 60532-1999 | |
| (630) 296-4041 | |
| Not Available |
| Full Name | Benjamin G. Harris, M.a., Lcpc, Ltd. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3333 Warrenville Rd Ste 200, Lisle, Illinois |
| Authorized Official Name and Position | Benjamin G Harris (PRESIDENT) |
| Authorized Official Contact | 8157614257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin G. Harris, M.a., Lcpc, Ltd. 1302 Peyton Pl Saint Charles IL 60174-5058 Ph: (815) 761-4257 | Benjamin G. Harris, M.a., Lcpc, Ltd. 3333 Warrenville Rd Ste 200 Lisle IL 60532-1999 Ph: (630) 296-4041 |
| NPI Number | 1770176794 |
|---|---|
| Provider Enumeration Date | 02/20/2021 |
| Last Update Date | 02/20/2021 |
| Certification Date | 02/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770176794 | NPI | - | NPPES |
| 1811122963 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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