Harris, Jennifer

Harris, Jennifer is an individual health care provider with primary practice located at 2357 Tobacco Rd , Augusta GA 30906-9220. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Harris, Jennifer can be contacted via phone (706) 722-3855.

Contact Information

Primary practice address
2357 Tobacco Rd Augusta GA 30906-9220
Phone: (706) 722-3855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Georgia

Profile Details

NPI number 1255898748
LBN Legal business name Harris, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2019
Last updated Feb 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255898748 NPPES
Georgia Other 58231216 AUGUSTA METRO TREATMENT CENTER

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