Individual
JAMILA KENZI HARLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
510938
GA
101YP2500X
Professional Counselor
Primary
LPC011657
GA
Other
Enumeration date
11/08/2012
Last updated
09/04/2025
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