Individual
MS. KELLY MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/ED.S, LPC, NCC
Contact information
Practice address
13815 PROFESSIONAL CENTER DR STE 100, HUNTERSVILLE, NC 28078
(704) 384-1320
(704) 316-3138
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1320
(704) 316-3138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11918
NC
101YP2500X
Professional Counselor
Primary
11918
NC
Other
Enumeration date
01/13/2016
Last updated
10/26/2020
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