Harris, Jody

Harris, Jody is an individual health care provider with primary practice located at 100 Rivendell Dr , Benton AR 72015-9188. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Harris, Jody can be contacted via phone (501) 316-1255.

Contact Information

Primary practice address
100 Rivendell Dr Benton AR 72015-9188
Phone: (501) 316-1255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-1409 Arkansas

Profile Details

NPI number 1588781538
LBN Legal business name Harris, Jody
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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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