Provider Demographics
NPI:1285263343
Name:HARRIS, KARA MORGAN (LCCP)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:MORGAN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LCCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42142-0013
Mailing Address - Country:US
Mailing Address - Phone:270-659-0035
Mailing Address - Fax:270-629-4880
Practice Address - Street 1:108A ENSMINGER DR
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-1157
Practice Address - Country:US
Practice Address - Phone:270-659-0035
Practice Address - Fax:270-629-4880
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY262644101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health