Individual
JORDAN BECKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 PENNY LN, ROSWELL, GA 30076-3924
(770) 402-4952
Mailing address
2786 WOODLAND TER SE, SMYRNA, GA 30080-2628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC007810
GA
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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