Individual
JORDAN RENEE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
288 TERRACE LN APT 9107, BOONE, NC 28607-6276
(352) 213-4863
Mailing address
288 TERRACE LN APT 9107, BOONE, NC 28607-6276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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