Individual
JORDAN BLAKE DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CRC, QP, LCAS-P
Contact information
Practice address
2428 CHARLES BLVD, GREENVILLE, NC 27858-5924
(252) 215-5711
(252) 215-5701
Mailing address
2428 CHARLES BLVD, GREENVILLE, NC 27858-5924
(252) 215-5711
(252) 215-5701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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