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Jewelisa Harrison
Professional Counselor in Modesto, California
NPI 1821572520

Jewelisa Harrison is a Professional Counselor based in Modesto, CA and is specialized in Professional. Jewelisa Harrison practices in Modesto, CA. The NPI Number for Jewelisa Harrison is 1821572520 and holds a License No. (California).

The current practice location address for Jewelisa Harrison is 100 Poplar Ave, Modesto, CA and can be reached out via phone at 209-523-4573.

Location: 100 Poplar Ave, Modesto, CA, 95354-0510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821572520
Provider Name
Jewelisa Harrison
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Poplar Ave, Modesto, CA, 95354-0510
Phone Number
209-523-4573
Fax Number
Provider Enumeration Date
09/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Poplar Ave
City
Modesto
State
California
Zip
95354-0510
Phone Number
209-523-4573
Fax Number
person
Provider Business Mailing Address Details
Address
100 Poplar Ave
City
Modesto
State
California
Zip
95354-0510
Phone Number
209-523-4573
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
135837 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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