Individual
AUSBAND HARRIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2711 W 15TH ST, PANAMA CITY, FL 32401-1366
(850) 769-6001
Mailing address
2951 NEW HOPE RD, MARIANNA, FL 32448-3615
(850) 693-9229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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