Individual
JORDAN BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 N SHEFTALL ST, POOLER, GA 31322-2517
(912) 581-2362
Mailing address
PO BOX 1242, STATESBORO, GA 30459-1242
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
11/07/2023
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