Individual
JACLYN JANICE HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7712 LAKEWOOD DR, FAIRVIEW, PA 16415-1207
(814) 602-7552
Mailing address
7712 LAKEWOOD DR, FAIRVIEW, PA 16415-1207
(814) 602-7552
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008795
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034203150002
—
PA
Enumeration date
03/17/2016
Last updated
07/16/2024
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