# JESSICA E HARRISON, LCSW

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194296418
- **Authorized official:** MS. JESSICA EMILY HARRISON LCSW (PRESIDENT)
- **Authorized official phone:** (954) 600-6695

## Contact information

- **Practice address:** 900 E INDIANTOWN RD STE 310, JUPITER, FL 33477-5153
- **Practice address phone:** (954) 600-6695
- **Mailing address:** 21000 PORTOFINO CIR APT 125, PALM BEACH GARDENS, FL 33418-1262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/14/2018
- **Last updated:** 06/27/2019