Individual
JACOB HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CADC
Contact information
Practice address
55 WETZEL DR STE 3, HANOVER, PA 17331-1131
(717) 797-3796
Mailing address
6680 PINE RD, THOMASVILLE, PA 17364-9441
(717) 852-5193
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23164
PA
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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