Individual
MS. JAMIKA DIANE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
29260 FRANKLIN RD STE 123, SOUTHFIELD, MI 48034-1144
(313) 608-1242
Mailing address
23612 LAHSER RD, SOUTHFIELD, MI 48033-3202
(313) 608-1242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401014689
MI
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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