Individual
JENIFER T HARCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CPCS
Contact information
Practice address
814 MIMOSA BLVD, ROSWELL, GA 30075-4410
(678) 310-8259
Mailing address
17313 BARBERRY RD, MILTON, GA 30004-4465
(404) 931-3675
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004568
GA
101YP2500X
Professional Counselor
—
—
102L00000X
Psychoanalyst
—
—
Other
Enumeration date
09/25/2006
Last updated
12/23/2017
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