Individual
MRS. DEDRA JOAN HARVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, S/T
Contact information
Practice address
611 N WAYNE ST, MILLEDGEVILLE, GA 31061-2834
(478) 254-0481
(478) 254-9723
Mailing address
PO BOX 27653, MACON, GA 31221-7653
(478) 254-0481
(478) 254-9723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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