Individual
MARK HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
600 SUN TEMPLE DR, MADISON, AL 35758-8643
(256) 288-3333
(256) 288-3334
Mailing address
600 SUN TEMPLE DR, MADISON, AL 35758-8643
(256) 288-3333
(256) 288-3334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
3952C
AL
Other
Enumeration date
08/02/2013
Last updated
05/12/2021
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