Individual
DR. LESLIE JENNICE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
120 EVEREST LN STE 3, ST JOHNS, FL 32259-4063
(850) 771-8882
Mailing address
120 EVEREST LN STE 3, ST JOHNS, FL 32259-4063
(850) 771-8882
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFT000969
GA
106H00000X
Marriage & Family Therapist
Primary
MT2943
FL
Other
Enumeration date
06/04/2009
Last updated
08/16/2024
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