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Kelly Mark Harrison
Mental Health Counselor in San Luis Obispo, California
NPI 1114360385

Kelly Mark Harrison is a Mental Health Counselor based in San Luis Obispo, CA and is specialized in Mental Health. Kelly Mark Harrison practices in San Luis Obispo, CA. The NPI Number for Kelly Mark Harrison is 1114360385 and holds a License No. (California).

The current practice location address for Kelly Mark Harrison is 784 High St, San Luis Obispo, CA and can be reached out via phone at 805-540-6500 and via fax at 805-540-6501.

Location: 784 High St, San Luis Obispo, CA, 93406-5408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114360385
Provider Name
Kelly Mark Harrison
Credential
Provider Entity Type
Individual
Gender
Male
Address
784 High St, San Luis Obispo, CA, 93406-5408
Phone Number
805-540-6500
Fax Number
805-540-6501
Provider Enumeration Date
04/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
784 High St
City
San Luis Obispo
State
California
Zip
93401-5243
Phone Number
805-540-6500
Fax Number
805-540-6501
person
Provider Business Mailing Address Details
Address
784 High St
City
San Luis Obispo
State
California
Zip
93401-5243
Phone Number
805-540-6500
Fax Number
805-540-6501
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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