JONATHAN HARLESS

HAYTI, MO
NPI1538314265
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-11-21
Last Update Date2009-05-27
Business Address
-- JONATHAN HARLESS RASAC
500 HWY J NORTH
HAYTI, MO 63851
Phone number: 573-359-2600
Mailing Address
-- JONATHAN HARLESS RASAC
PO BOX 441
HAYTI, MO 63851-0441
Phone number: 573-359-2600
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