Individual
JORDAN BLADE KENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 WADE HAMPTON BLVD, GREENVILLE, SC 29609-4945
(704) 981-1558
Mailing address
15 RODNEY AVE, GREENVILLE, SC 29617-7618
(478) 258-3346
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9278
SC
Other
Enumeration date
09/13/2024
Last updated
09/16/2025
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