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Individual

MS. JORDAN LEIGH JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
1914 5TH AVE S, IRONDALE, AL 35210
(205) 296-2413
Mailing address
1914 5TH AVE S, IRONDALE, AL 35210
(205) 296-2413

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YP2500X
Professional Counselor
4135
AL

Other

Enumeration date
10/23/2019
Last updated
10/23/2019
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