Organization
MILLICENT C. JORDAN, LLC
Active
Other names
Ashley Therapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILLICENT JORDAN LPC (DIRECTOR)
(843) 573-5050
Entity
Organization
Contact information
Practice address
1 CARRIAGE LN STE J, CHARLESTON, SC 29407-6060
(843) 573-5050
(843) 573-5030
Mailing address
1 CARRIAGE LN STE J, CHARLESTON, SC 29407-6060
(843) 573-5050
(843) 573-5030
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
328
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202569
—
SC
Enumeration date
11/14/2006
Last updated
08/22/2020
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