Individual
KASHINA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1422 N RICH HILL CIR, NIXA, MO 65714-7959
(417) 300-5380
Mailing address
1422 N RICH HILL CIR, NIXA, MO 65714-7959
(417) 300-5380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2020013490
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020013490
LICENSE
MO
Enumeration date
09/01/2022
Last updated
09/01/2022
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