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Individual

BRENT HARMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
51310 TIMBER BAY COURT, HOMER, AK 99603
(907) 235-3250
(907) 235-3251
Mailing address
PO BOX 876741, WASILLA, AK 99687-6741
(907) 373-4732
(907) 746-4749

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
10/21/2021
Last updated
10/21/2021
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