Individual
KENNETH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3111 S 70TH ST, FORT SMITH, AR 72903-5017
(479) 452-6650
(479) 452-5847
Mailing address
4625 S Q ST, FORT SMITH, AR 72903-3170
(918) 822-0987
(479) 452-5847
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P1306068
AR
101YM0800X
Mental Health Counselor
P1306068
AR
101YP2500X
Professional Counselor
Primary
P1306068
AR
Other
Enumeration date
01/07/2010
Last updated
06/21/2019
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