Most Relevant Information
Provider Data
| NPI Number: | 1003321894 |
| Provider Name: | TINA HARKNESS-POIRIER |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/04/2017 |
| Last Updated: | 03/06/2023 |
Provider Practice Location
920 NOBLES FERRY RD
LIVE OAK
FL
320648463
Practice Location Phone/Fax
| Phone: | 3523745600 |
| Fax: |
Provider Mailing Location
4300 SW 13TH ST
GAINESVILLE
FL
326084006
Provider Mailing Phone/Fax
| Phone: | 3523745600 |
| Fax: |