Individual
MR. JORDAN YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5575 PEACHTREE PKWY, PEACHTREE CORNERS, GA 30092-2551
(470) 359-4852
Mailing address
5575 PEACHTREE PKWY, PEACHTREE CORNERS, GA 30092-2551
(470) 359-4852
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007794
GA
Other
Enumeration date
03/02/2015
Last updated
06/29/2022
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