Individual provider · Type 1 NPI

Charles Marvelle Harris

Addiction (Substance Use Disorder) Counselor · Macon, GA

NPI number 1700497955 Active

Practice location

890 Northwoods Plaza
Macon, GA 31204

Call (478) 330-7164 Map

Fax (478) 330-7167

Mailing address

890 Burrus Rd
Macon, GA 31204-1441

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1700497955

Charles Marvelle Harris's National Provider Identifier is 1700497955, issued on Aug 12, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Macon, GA. The record was last updated on Aug 12, 2020.