Individual
LAURICE L. JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
259 LANGLEY DR STE B, LAWRENCEVILLE, GA 30046-6907
(470) 294-1161
Mailing address
259 LANGLEY DR STE B, LAWRENCEVILLE, GA 30046-6907
(470) 294-1161
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006498
GA
Other
Enumeration date
08/15/2011
Last updated
02/24/2021
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