Individual
MRS. KENDAL F HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSATP, MAC, CSAC
Contact information
Practice address
3600 GROVEWOOD RD, NORTH CHESTERFIELD, VA 23234-4861
(804) 986-3792
Mailing address
3600 GROVEWOOD RD, NORTH CHESTERFIELD, VA 23234-4861
(804) 986-3792
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0718000524
VA
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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