Individual
KAKEISHA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 COLVAN ST, RACELAND, LA 70394
(985) 381-5229
Mailing address
144 COLVAN ST, RACELAND, LA 70394-2146
(985) 381-5229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
07/30/2018
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