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General NPI Number Information
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NPI Number | 1871933887
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Entity Type | Individual
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Provider Name | JAMICIA HARLEY ED.D
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Gender | Female
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Dates
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Enumeration Date | 07/05/2013
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 3119 SPRING GLEN RD STE 115
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City | JACKSONVILLE
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State | FL
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Zip | 32207-5921
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Country | US
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Telephone | 904-660-8835
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Fax |
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Provider Business Mailing Address
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Address Line | 550 BALMORAL CIR N STE 209
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City | JACKSONVILLE
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State | FL
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Zip | 32218-5577
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Country | US
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Telephone | 904-660-8835
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CBHCMS.0100869
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH26400
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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