Individual
JAYLA A HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2841 W 99TH PL, EVERGREEN PARK, IL 60805-2656
(312) 504-1620
Mailing address
2841 W 99TH PL, EVERGREEN PARK, IL 60805-2656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.017988
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/26/2020
Last updated
04/16/2026
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