Individual provider · Type 1 NPI

Mikkal Harris, LCPC

Professional Counselor · Matteson, IL

NPI number 1942537477 Active

Practice location

4749 Lincoln Mall Dr, #202
Matteson, IL 60443-2348

Fax (708) 827-0555

Mailing address

8660 S 86th Ave, #310
Justice, IL 60458-2127

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X180007145 (IL)
Professional Counselor Primary 101YP2500X180007145 (IL)
Marriage & Family Therapist 106H00000X180007145 (IL)

Professional Counselor: Definition to come...

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About NPI 1942537477

Mikkal Harris, LCPC's National Provider Identifier is 1942537477, issued on Nov 4, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Matteson, IL. The record was last updated on Nov 4, 2009.