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Individual

JESSICA BOYD JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATR-P, LPC-A

Contact information

Practice address
616 S COIT ST, FLORENCE, SC 29501-5223
(843) 674-0054
Mailing address
2092 HARRY BYRD HWY, DARLINGTON, SC 29532-6003
(843) 639-1410

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10143
SC
221700000X
Art Therapist
24-693
SC

Other

Enumeration date
09/24/2024
Last updated
06/09/2025
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