Individual
AJA DEYON HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
155 DEER RUN RD, DANVILLE, VA 24540-2863
(434) 835-4601
Mailing address
155 DEER RUN RD, DANVILLE, VA 24540-2863
(434) 835-4601
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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