Individual
WALTER ROBERT HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ME
Contact information
Practice address
30 STONECREST CT, SHELBYVILLE, KY 40065-8128
(502) 437-0859
(502) 324-7057
Mailing address
30 STONECREST CT, SHELBYVILLE, KY 40065-8128
(502) 232-0893
(502) 324-7057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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