Individual
ALEXANDRIA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 DINGESS ST, LOGAN, WV 25601-3603
(304) 688-9269
Mailing address
101 DINGESS ST, LOGAN, WV 25601-3603
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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