Individual
CARL RAYE HARBISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2077 TUMBLEWEED TRL, POPLAR BLUFF, MO 63901-8373
(573) 604-5404
Mailing address
2077 TUMBLEWEED TRL, POPLAR BLUFF, MO 63901-8373
(573) 604-5404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MO
101YP2500X
Professional Counselor
2018037840
MO
Other
Enumeration date
10/05/2018
Last updated
08/22/2025
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