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Mikkal Harris, LCPC

NPI 1942537477 · on the registry since 2009 · sole proprietor

Practice

Address
4749 Lincoln Mall Dr
#202
Matteson, IL 60443
Phone
(708) 833-8887
Fax
(708) 827-0555
Organisation at this address
Athletico Ltd
Laynie Foundation
Pinhas Sharon Md, Llc
Positive Impact Solution
Care Members At Home Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YM0800X
106H00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois