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Andrew M Harrell SR.
Professional Counselor in Jasper, Florida
NPI 1952480105

Andrew M Harrell SR. is a Professional Counselor based in Live Oak, FL and is specialized in Professional. Andrew M Harrell SR. practices in Jasper, FL. The NPI Number for Andrew M Harrell SR. is 1952480105 and holds a License No. MH 3789 (Florida).

The current practice location address for Andrew M Harrell SR. is 11180 Ne 38Th St, Jasper, FL and can be reached out via phone at 386-792-6638 and via fax at 386-792-6401.

Location: 11180 Ne 38Th St, Jasper, FL, 32060-6958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952480105
Provider Name
Andrew M Harrell SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
11180 Ne 38Th St, Jasper, FL, 32060-6958
Phone Number
386-792-6638
Fax Number
386-792-6401
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11180 Ne 38Th St
City
Jasper
State
Florida
Zip
32052-2502
Phone Number
386-792-6638
Fax Number
386-792-6401
person
Provider Business Mailing Address Details
Address
11180 Ne 38Th St
City
Jasper
State
Florida
Zip
32052-2502
Phone Number
386-792-6638
Fax Number
386-792-6401
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
MH 3789 (Florida)
Definition
Definition to come...
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