Jessica E Harrison, Lcsw | |
900 E Indiantown Rd Ste 310 Jupiter FL 33477-5153 | |
(954) 600-6695 | |
Not Available |
Full Name | Jessica E Harrison, Lcsw |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 900 E Indiantown Rd Ste 310, Jupiter, Florida |
Authorized Official Name and Position | Jessica Emily Harrison (PRESIDENT) |
Authorized Official Contact | 9546006695 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jessica E Harrison, Lcsw 21000 Portofino Cir Apt 125 Palm Beach Gardens FL 33418-1262 Ph: () - | Jessica E Harrison, Lcsw 900 E Indiantown Rd Ste 310 Jupiter FL 33477-5153 Ph: (954) 600-6695 |
NPI Number | 1194296418 |
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Provider Enumeration Date | 12/14/2018 |
Last Update Date | 06/27/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194296418 | NPI | - | NPPES |
003790900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
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