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Carl Raye Harbison JR.
Mental Health Counselor in Poplar Bluff, Missouri
NPI 1174098115

Carl Raye Harbison JR. is a Mental Health Counselor based in Ironton, MO and is specialized in Mental Health. Carl Raye Harbison JR. practices in Poplar Bluff, MO. The NPI Number for Carl Raye Harbison JR. is 1174098115 and holds a License No. (Missouri).

The current practice location address for Carl Raye Harbison JR. is 3001 Warrior Ln, Poplar Bluff, MO and can be reached out via phone at 573-686-1200.

Location: 3001 Warrior Ln, Poplar Bluff, MO, 63650-9123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174098115
Provider Name
Carl Raye Harbison JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
3001 Warrior Ln, Poplar Bluff, MO, 63650-9123
Phone Number
573-686-1200
Fax Number
Provider Enumeration Date
10/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3001 Warrior Ln
City
Poplar Bluff
State
Missouri
Zip
63901-8685
Phone Number
573-686-1200
Fax Number
person
Provider Business Mailing Address Details
Address
3001 Warrior Ln
City
Poplar Bluff
State
Missouri
Zip
63901-8685
Phone Number
573-686-1200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Missouri)
Definition
Definition to come...
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