Clarence Harris

Individual provider Active NPI Professional Counselor · MC Arthur, OH

NPI 1477061653 · NPPES record last updated Jan 22, 2018

Key facts

NPI
1477061653
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
313 W Main St
MC Arthur, OH 45651-1014
Phone
(740) 596-4809
Fax
(740) 596-2809
NPI assigned
Jan 22, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

313 W Main St
MC Arthur, OH 45651-1014

Mailing address

1049 Western Ave
Chillicothe, OH 45601-1104
Phone (740) 773-4366

Other providers in MC Arthur, OH

All providers in MC Arthur, OH · Professional Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.