Individual
JOVONTE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
646 BULEN AVE, COLUMBUS, OH 43205-2525
(614) 601-0425
Mailing address
646 BULEN AVE, COLUMBUS, OH 43205-2525
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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