Individual
JORDAN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1932 BRAEBURN DR, SALEM, VA 24153-7302
(540) 529-8543
(540) 378-6044
Mailing address
1932 BRAEBURN DR, SALEM, VA 24153-7302
(540) 529-8543
(540) 378-6044
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701014039
VA
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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