Individual provider · Type 1 NPI
Andrew M. Harrell Sr.
Professional Counselor · Jasper, FL
NPI number
1952480105
Active
Practice location
11180 NE 38th St
Jasper, FL 32052-2502
Fax (386) 792-6401
Mailing address
10333 124th St
Live Oak, FL 32060-6958
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | MH 3789 (FL) |
Professional Counselor: Definition to come...
About NPI 1952480105
Andrew M. Harrell Sr.'s National Provider Identifier is 1952480105, issued on Nov 6, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jasper, FL. The record was last updated on Jul 8, 2007.