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Individual

MS. SUSAN KLECK JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
900 TRAIL RIDGE RD STE 126, AIKEN, SC 29803-7765
(803) 998-8008
Mailing address
900 TRAIL RIDGE RD STE 126, AIKEN, SC 29803-7765
(803) 998-8008

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8046
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417719915
SC
Enumeration date
10/23/2006
Last updated
06/21/2024
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