Organization
ANDREA JORDAN THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA JORDAN LCMHC (OWNER)
(919) 229-9051
Entity
Organization
Contact information
Practice address
1659 MAIN DIVIDE DR, WAKE FOREST, NC 27587-6196
(919) 229-9051
Mailing address
1659 MAIN DIVIDE DR, WAKE FOREST, NC 27587-6196
(919) 229-9051
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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