Individual
KATHERINE ELIZABETH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2659 ST ELIAS DR # B, HENRICO, VA 23294-3535
(804) 334-1865
(804) 454-0781
Mailing address
2659 ST ELIAS DR # B, HENRICO, VA 23294-3535
(804) 334-1865
(804) 454-0781
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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