Individual
LA'KISHA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
732 THIMBLE SHOALS BLVD STE 701, NEWPORT NEWS, VA 23606-4256
(757) 768-7528
Mailing address
PO BOX 2214, NEWPORT NEWS, VA 23609-0214
(757) 768-7528
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007728
VA
Other
Enumeration date
12/18/2018
Last updated
12/23/2024
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