Individual
HARRISON JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BS, LCAS-A
Contact information
Practice address
169 GATEWAY BLVD, MOORESVILLE, NC 28117-5540
(704) 303-1303
Mailing address
7769 CASWELL RD, STANLEY, NC 28164-8786
(980) 213-7488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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