Individual
BERNEICE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 S PARK SQ NE STE 205, MARIETTA, GA 30060-8632
(404) 259-5819
(770) 726-0377
Mailing address
3424 CHANCELLORS DR, POWDER SPRINGS, GA 30127-2157
(404) 259-5819
(770) 726-0377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
164
GA
101YP2500X
Professional Counselor
164
GA
251B00000X
Case Management Agency
164
GA
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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