Individual
MR. JAMES MATTHEW HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
900 BEASLEY ST, STE 120, LEXINGTON, KY 40509-4266
(859) 254-1035
Mailing address
900 BEASLEY ST STE 120, LEXINGTON, KY 40509
(859) 254-1035
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCPCC00218628
KY
1041C0700X
Clinical Social Worker
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100372900
—
KY
Enumeration date
01/23/2014
Last updated
12/17/2015
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