Organization
SUSAN K JORDAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN KLECK JORDAN LPC (OWNER)
(803) 998-8008
Entity
Organization
Contact information
Practice address
900 TRAIL RIDGE RD STE 126, AIKEN, SC 29803-7765
(803) 998-8008
Mailing address
900 TRAIL RIDGE RD STE 126, AIKEN, SC 29803-7765
(803) 998-8008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093898926
INDIVIDUAL NPI 1
—
05
—
SCS8470281
—
SC
Enumeration date
01/29/2024
Last updated
06/21/2024
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