Individual
JESSICA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
230 2ND ST, SUITE 308, HENDERSON, KY 42420-3172
(270) 826-8761
(270) 826-8737
Mailing address
6860 ANTON RD, MADISONVILLE, KY 42431-8542
(270) 841-0785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
128141
KY
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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