Individual
MATTHEW HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSSW, MSCFT, LMFT
Contact information
Practice address
101 CRESCENT AVE STE A, LOUISVILLE, KY 40206-1512
(502) 627-0048
Mailing address
101 CRESCENT AVE STE A, LOUISVILLE, KY 40206-1512
(502) 627-0048
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
167370
KY
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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