Harber, Jerry Lance

Harber, Jerry Lance is an sole proprietor health care provider with primary practice located at 160 S Holmes St , Memphis TN 38111-4521. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Harber, Jerry Lance can be contacted via phone (901) 409-5474.

Contact Information

Primary practice address
160 S Holmes St Memphis TN 38111-4521
Phone: (901) 409-5474
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC TN005 Tennessee
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X TN MFT002 Tennessee

Profile Details

NPI number 1407062318
LBN Legal business name Harber, Jerry Lance
Credentials MFT, LPC-MHSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407062318 NPPES
Tennessee Other 005 LPC LICENSE
Tennessee Other 002 LPC LICENSE

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