Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Mark Harrison

Individual provider Mental Health Counselor · NPI 1114360385

Kelly Mark Harrison is a Mental Health Counselor in San Luis Obispo, California. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

784 High St
San Luis Obispo, CA 93401-5243
Phone: (805) 540-6500
Fax: (805) 540-6501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1114360385
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 8, 2013
Last updated in NPPESAugust 19, 2013

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