Individual
ROSETTA WALKER HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
248 E CAPITOL ST, 840 TRUST MARK BLDG., JACKSON, MS 39201-2503
(800) 632-6074
(866) 341-7509
Mailing address
110 FREEDOM ST, PO BOX 159, ITTA BENA, MS 38941-2507
(662) 392-2871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1817
MS
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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