Individual
KAITY MICHELLE HARRIS IMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
247 COMMERCIAL ST NE STE 204, SALEM, OR 97301-3435
(971) 304-5285
Mailing address
247 COMMERCIAL ST NE STE 204, SALEM, OR 97301-3435
(971) 304-5285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C3374
OR
Other
Enumeration date
08/18/2009
Last updated
09/24/2024
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