Individual
MARICA NESHELL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2375 WALL ST SE STE 240, CONYERS, GA 30013-2296
(770) 679-0586
Mailing address
207 WELLBROOK CT NE, CONYERS, GA 30012-3832
(478) 456-2157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
049730387
GA
101YM0800X
Mental Health Counselor
CTB20230980
NM
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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