Individual
BONNIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 HUNTINGTON RD, ATHENS, GA 30606-7204
(706) 552-0450
Mailing address
1 HUNTINGTON RD STE 801, ATHENS, GA 30606-7216
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC006808
GA
101YP2500X
Professional Counselor
Primary
LPC013662
GA
Other
Enumeration date
02/12/2019
Last updated
04/10/2023
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