Individual
JERALD D HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
16514 N ORACLE RD, TUCSON, AZ 85739-9108
(520) 825-2100
(520) 825-8412
Mailing address
PO BOX 8666, TUCSON, AZ 85738-0666
(520) 825-2100
(520) 825-8412
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1461
AZ
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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