Individual
MRS. KIMBERLY JEAN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
211 E SIX FORKS RD, SUITE 117, RALEIGH, NC 27609-7745
(919) 833-8899
(919) 933-8894
Mailing address
211 E SIX FORKS RD, SUITE 117, RALEIGH, NC 27609-7745
(919) 833-8899
(919) 933-8894
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2750
NC
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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