Individual
JARROD KEITH HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5199 WHITEOAK AVE SE, SMYRNA, GA 30080-7424
(409) 540-0262
Mailing address
5199 WHITEOAK AVE SE, SMYRNA, GA 30080-7424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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