| Doctor Name: | MR. ARVEL JEFFREY HARRIS |
| NPI Number: | 1013297803 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC, CADC |
| License Number: | 119923 |
| Business Practice Address: | 920 Frederica St Ste 407 Owensboro, KY - 423013079 |
| Business Phone Number: | 2706890073 |
| Business Fax Number: | 2706890083 |
| Mailing Address: | 920 Frederica St Ste 407, OWENSBORO |
| State: | KY |
| Postal Code: | 423013079 |
| Phone Number: | 2706890073 |
| Fax Number: | 2706890083 |
| NPI Enumeration Date: | 08/24/2011 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 119923 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |