IndividualActive
Andrew Harrell
NPI 1952480105 · Professional Counselor · Jasper, FL
Provider details
- NPI number
- 1952480105
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- MH 3789 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
11180 Ne 38th St
Jasper, FL 32052-2502
Phone: (386) 792-6638
Fax: (386) 792-6401
Approximate (ZIP-level) locationGet directions
Mailing address
10333 124th St
Live Oak, FL 32060-6958
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.