Individual
JORDAN SCOTT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
161 PROSPEROUS PL STE 100, LEXINGTON, KY 40509-1898
(859) 214-7440
Mailing address
161 PROSPEROUS PL STE 100, LEXINGTON, KY 40509-1898
(859) 214-7440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
271459
KY
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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