Individual
JUSTIN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2706
(540) 961-8300
(540) 443-0053
Mailing address
700 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2706
(540) 961-8300
(540) 443-0053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701005679
VA
101YP2500X
Professional Counselor
Primary
0701005679
VA
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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