IndividualActive
Electra Harris, LADC, MENTAL HEALTH
NPI 1053201095 · Mental Health Counselor · Champlin, MN
Provider details
- NPI number
- 1053201095
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LADC, MENTAL HEALTH
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
10941 Douglas Ln N
Champlin, MN 55316-3563
Phone: (763) 777-1471
Fax: (763) 777-1471
Approximate (ZIP-level) locationGet directions
Mailing address
10941 Douglas Ln N
Champlin, MN 55316-3563
Registry dates
- Enumerated
- 2025-07-09
- Last updated
- 2025-07-09
- Certified
- 2025-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.