Individual
MR. KENNETH R HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, NCC
Contact information
Practice address
6217 W GORE BLVD, LAWTON, OK 73505-5836
(580) 536-9129
Mailing address
1604 NW BLACK MESA DR, LAWTON, OK 73505-2812
(580) 536-6759
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3105
—
101YM0800X
Mental Health Counselor
81648
—
101YP2500X
Professional Counselor
Primary
81648
—
Other
Enumeration date
03/19/2007
Last updated
09/11/2025
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