Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Harris, LCMHC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1730717448

Jacqueline Harris, LCMHC is an Addiction (Substance Use Disorder) Counselor in Greensboro, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
Specialties on file
3

Practice location Address checks out

4708 Mallard Creek Dr
Greensboro, NC 27405-2782
Phone: (336) 707-9677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 16915 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-2686 (NC)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1730717448
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorYes
NPI enumeratedMarch 29, 2020
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

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