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Individual

MR. RONNIE THOMAS HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
146 HILLCREST CIR, BRANDON, MS 39042-9183
(601) 506-2388
(601) 706-4374
Mailing address
146 HILLCREST CIR, BRANDON, MS 39042-9183
(601) 506-2388
(601) 706-4374

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
0763
MS
101YA0400X
Addiction (Substance Use Disorder) Counselor
0763
MS
101YP2500X
Professional Counselor
Primary
0763
MS

Other

Enumeration date
02/28/2011
Last updated
02/28/2011
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