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Individual
IMANI TALIAH HARRISON
Active
Individual
IMANI TALIAH HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180014137
IL
101YP2500X
Professional Counselor
178.014231
IL
101YP2500X
Professional Counselor
180.014137
IL
Other
Enumeration date
10/23/2018
Last updated
02/17/2022
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