Provider Demographics
NPI:1447702469
Name:HARRIS-JONES, PAMELA (LPC)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:
Last Name:HARRIS-JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3204 SEATTLE CT
Mailing Address - Street 2:WAKE FOREST
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-9381
Mailing Address - Country:US
Mailing Address - Phone:919-217-5590
Mailing Address - Fax:
Practice Address - Street 1:3204 SEATTLE CT
Practice Address - Street 2:WAKE FOREST
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-9381
Practice Address - Country:US
Practice Address - Phone:919-217-5590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12374101YP2500X
NC12374101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional