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Individual

AJA DEYON HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701006900
VA
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701006900
LPC LICENSE
VA
Enumeration date
06/07/2012
Last updated
07/11/2024
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