Individual
MR. WILLIAM ANTHONY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED COUNSELOR
Contact information
Practice address
2841 N PATTERSON ST, VALDOSTA, GA 31602-1743
(229) 316-0132
(229) 316-0162
Mailing address
2841 N PATTERSON ST, VALDOSTA, GA 31602-1743
(229) 316-0132
(229) 316-0162
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
268
GA
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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