Individual
JENNY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5239 FORTRESS CIR, VALDOSTA, GA 31605-6569
(229) 242-9255
Mailing address
5239 FORTRESS CIRCLE, VALDOSTA, GA 31605
(229) 242-9255
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001102
GA
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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