Individual
JORDAN ALFORD BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 OLD LYNCHBURG RD, CHARLOTTESVILLE, VA 22903-6500
(434) 964-7607
Mailing address
138 CRIMORA MINE RD, CRIMORA, VA 24431-2523
(540) 649-2576
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009827
VA
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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