Individual
JORDAN NICOLE SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
14072 ELKIN HIGHWAY 268, RONDA, NC 28670-9199
(336) 827-0089
(844) 676-0500
Mailing address
4420 US 21 HWY, HAMPTONVILLE, NC 27020-7319
(336) 244-0273
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A19232
NC
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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