Individual
JORDAN KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4073 HIGHWAY 53, HOSCHTON, GA 30548-2305
(770) 882-5884
Mailing address
479 HIGHWAY 51 S, HOMER, GA 30547-2534
(678) 936-2827
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC013929
GA
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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