Individual
MISS KATIE RAY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 W LINE ST STE 4, CALHOUN, GA 30701-1837
(678) 383-0636
Mailing address
745 JACKSON AVE, DALTON, GA 30720-5081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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