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Individual

MR. RICHARD HARRELL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., LPC, NCC

Contact information

Practice address
2911 BRUNSWICK RD., MEMPHIS, TN 38133
(901) 569-2103
(901) 346-3110
Mailing address
148 HERITAGE LAKE DRIVE, MEMPHIS, TN 38109
(901) 569-2103
(901) 346-3110

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC0000002051
TN
101YP2500X
Professional Counselor

Other

Enumeration date
05/25/2010
Last updated
05/25/2010
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