Individual
JORDYN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7447 ROSWELL RD, ATLANTA, GA 30328-1026
(470) 254-2089
Mailing address
4200 RUE SAINT DOMINIQUE, STONE MOUNTAIN, GA 30083-4607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134257827
CHRIS 180
GA
Enumeration date
03/01/2022
Last updated
03/01/2022
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