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Individual

ROY CHESTER HARNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW,PCHMT,PCAT

Contact information

Practice address
1935 LAKELAND DR STE 900, JACKSON, MS 39216-5028
(601) 718-2648
(601) 718-2487
Mailing address
1935 LAKELAND DR STE 900, JACKSON, MS 39216-5028
(601) 718-2648
(601) 718-2487

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PA0343
MS

Other

Enumeration date
07/31/2021
Last updated
07/31/2021
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