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Organization

ALFONZO HARALSON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALFONZO HARALSON ED.D, (LICENSED PROFESSIONAL COUNSELOR)
(601) 918-4885
Entity
Organization

Contact information

Practice address
132 THOUSAND OAKS CIR, JACKSON, MS 39212-2046
(601) 918-4885
Mailing address
132 THOUSAND OAKS CIR, JACKSON, MS 39212-2046
(601) 918-4885

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
678
MS

Other

Enumeration date
02/24/2016
Last updated
02/24/2016
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