Individual
JORDAN MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5123 VIRGINIA WAY STE A23, BRENTWOOD, TN 37027-7598
(256) 714-6160
Mailing address
5123 VIRGINIA WAY STE A23, BRENTWOOD, TN 37027-7598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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