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Individual

MR. JERRY LANCE HARBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MFT, LPC-MHSP

Contact information

Practice address
160 S HOLMES ST, MEMPHIS, TN 38111-4521
(901) 409-5474
Mailing address
160 S HOLMES ST, MEMPHIS, TN 38111-4521
(901) 409-5474

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC TN005
TN
106H00000X
Marriage & Family Therapist
TN MFT002
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002
MFT LICENSE
TN
01
005
LPC LICENSE
TN
Enumeration date
05/15/2007
Last updated
09/11/2025
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