Most Relevant Information
Provider Data
| NPI Number: | 1003386400 |
| Provider Name: | JARROD KEITH HARRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/28/2018 |
| Last Updated: | 11/28/2018 |
Provider Practice Location
5199 WHITEOAK AVE SE
SMYRNA
GA
300807424
Practice Location Phone/Fax
| Phone: | 4095400262 |
| Fax: |
Provider Mailing Location
5199 WHITEOAK AVE SE
SMYRNA
GA
300807424
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |