Individual
JONATHAN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.MIN
Contact information
Practice address
641 E POPLAR AVE, SELMER, TN 38375-1828
(731) 645-5753
(731) 645-9885
Mailing address
641 E POPLAR AVE, SELMER, TN 38375-1828
(731) 645-5753
(731) 645-9885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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