Individual provider · Type 1 NPI

Kimberly J. Harris, LPCC-S, LICDC

Professional Counselor · Middletown, OH

NPI number 1790990711 Active

Practice location

4464 S Dixie Hwy
Middletown, OH 45005-5464

Fax (513) 649-8004

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLICDC.001245 (OH)
Mental Health Counselor 101YM0800XE.0003482-SUPV (OH)
Professional Counselor Primary 101YP2500XE.0003482-SUPV (OH)

Professional Counselor: Definition to come...

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About NPI 1790990711

Kimberly J. Harris, LPCC-S, LICDC's National Provider Identifier is 1790990711, issued on May 12, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Middletown, OH. The record was last updated on Feb 9, 2017.