Individual
JENNIFER HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2357 TOBACCO RD, AUGUSTA, GA 30906-9220
(706) 722-3855
Mailing address
2357 TOBACCO RD, AUGUSTA, GA 30906-9220
(706) 722-3855
(706) 798-3795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58231216
AUGUSTA METRO TREATMENT CENTER
GA
Enumeration date
02/21/2019
Last updated
02/21/2019
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