Harris, Mikkal

Harris, Mikkal is an sole proprietor health care provider with primary practice located at 4749 Lincoln Mall Dr #202, Matteson IL 60443-2348. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Harris, Mikkal can be contacted via phone (708) 833-8887.

Contact Information

Primary practice address
4749 Lincoln Mall Dr #202 Matteson IL 60443-2348
Phone: (708) 833-8887
Fax: (708) 827-0555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180007145 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180007145 Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 180007145 Illinois

Profile Details

NPI number 1942537477
LBN Legal business name Harris, Mikkal
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2009
Last updated Nov 4th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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