Rosetta Walker Harris, LCSW
Counselor, Mental Health in Jackson, MS. Individual provider (NPI-1).
NPI number1386682102
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1386682102
- Entity type
- Individual (NPI-1)
- Name
- Rosetta Walker Harris
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | C1817 | MS | Yes |
Practice location
248 E Capitol St840 Trust Mark Bldg.
Jackson, MS 39201-2503
Phone 800-632-6074 · Fax 866-341-7509
Mailing address
110 Freedom StPo Box 159
Itta Bena, MS 38941-2507
Phone 662-392-2871
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