Individual
RHONDA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT PEER SUPPORT
Contact information
Practice address
413 E DIXIE AVE STE 106, ELIZABETHTOWN, KY 42701-1162
(270) 319-9899
Mailing address
413 E DIXIE AVE STE 106, ELIZABETHTOWN, KY 42701-1162
(270) 319-9899
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1177618
KY
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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