Individual
MRS. JESSICA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
5775 GLENRIDGE DR STE 310, ATLANTA, GA 30328-5380
(678) 667-7935
Mailing address
5775 GLENRIDGE DRIVE, BUILDING B, SUITE 310, ATLANTA, GA 30328
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014208
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC014208
PSYCHOTHERAPIST
GA
Enumeration date
06/29/2022
Last updated
10/16/2023
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