Individual provider · Type 1 NPI

Gwenetta A. Harris, BS

Professional Counselor · Baxley, GA

NPI number 1629537097 Active

Practice location

437 W Parker St
Baxley, GA 31513-0605

Call (912) 705-0858 Map

Fax (912) 705-6423

Mailing address

77 Alvin Ogden Dr
Baxley, GA 31513-8883

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC008226 (GA)

Professional Counselor: Definition to come...

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About NPI 1629537097

Gwenetta A. Harris, BS's National Provider Identifier is 1629537097, issued on Mar 15, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Baxley, GA. The record was last updated on Jun 11, 2019.