person
Kimberly J Harris, LPCC-S,LICDC
Professional Counselor in Middletown, Ohio
NPI 1790990711

Kimberly J Harris is a Professional Counselor based in Middletown, OH and is specialized in Professional. Kimberly J Harris practices in Middletown, OH and has the professional credentials of LPCC-S,LICDC. The NPI Number for Kimberly J Harris is 1790990711 and holds a License No. LICDC.001245 (Ohio).

The current practice location address for Kimberly J Harris is 4464 S Dixie Hwy, Middletown, OH and can be reached out via phone at 513-649-8008 and via fax at 513-649-8004.

Location: 4464 S Dixie Hwy, Middletown, OH, 45005-5464
person
Provider Profile Details
NPI Number
1790990711
Provider Name
Kimberly J Harris
Credential
LPCC-S,LICDC
Provider Entity Type
Individual
Gender
Female
Address
4464 S Dixie Hwy, Middletown, OH, 45005-5464
Phone Number
513-649-8008
Fax Number
513-649-8004
Provider Enumeration Date
05/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H130910 01 OH MEDICARE GROUP PTAN
01-0693 01 OH CARF CERTIFICATION
0074946 01 OH MEDICAID-ODMH
0074861 01 OH MEDICAID-ODADAS
236088 01 NBCC
institution
Provider Business Practice Location Address Details
Address
4464 S Dixie Hwy
City
State
Zip
45005-5464
Phone Number
513-649-8008
Fax Number
513-649-8004
person
Provider Business Mailing Address Details
Address
4464 S Dixie Hwy
City
State
Zip
45005-5464
Phone Number
513-649-8008
Fax Number
513-649-8004
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
E.0003482-SUPV (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
E.0003482-SUPV (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LICDC.001245 (Ohio)
Definition
Definition to come...
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