Individual
JOHNATHON GRANT HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPCC
Contact information
Practice address
510 SIBLEY ST, MANKATO, MN 56001-2056
(507) 484-2400
(507) 934-5220
Mailing address
510 SIBLEY ST, MANKATO, MN 56001-2056
(507) 484-2400
(507) 934-5220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC04354
MN
Other
Enumeration date
04/09/2024
Last updated
06/05/2024
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