Michaela Blaire Harrison, LCPC

NPI #1962012260 in Fairfield, Illinois

Provider Information

NPI Number: 1962012260
Entity Type: Individual
Name: Michaela Blaire Harrison, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Aug 3, 2020
Last Updated: Oct 10, 2025

Practice Location

Address: 9 FAWN DR
City: Fairfield
State: Illinois
ZIP Code: 62837-2800
Phone: (618) 718-1114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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