Individual
JESSICA REA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
409 CAPITOL VIEW DR, JEFFERSON CITY, MO 65101-3904
(573) 821-4577
Mailing address
409 CAPITOL VIEW DR, JEFFERSON CITY, MO 65101-3904
(573) 821-4577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018041073
MO
Other
Enumeration date
05/05/2020
Last updated
01/12/2023
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