Organization
G-R-O-W-T-H
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA'KISHA C JORDAN MS, LPC (OWNER)
(757) 214-2372
Entity
Organization
Contact information
Practice address
13195 WARWICK BLVD STE 2E, NEWPORT NEWS, VA 23602-8313
(757) 214-2372
Mailing address
PO BOX 2214, NEWPORT NEWS, VA 23609-0214
(757) 214-2372
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
01/11/2024
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