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Individual

JORDAN T HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MFTA

Contact information

Practice address
7260 N DIXIE HWY, RADCLIFF, KY 40160-4900
(270) 982-9495
(270) 982-9490
Mailing address
959 TIMBERWOOD DR, RADCLIFF, KY 40160-9563

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
283024
KY

Other

Enumeration date
08/22/2024
Last updated
08/22/2024
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