Individual
JORDAN FAYE ADCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
1301 LOCKHART ST, MONROE, NC 28112-4001
(704) 698-7934
(855) 515-1826
Mailing address
1301 LOCKHART ST, MONROE, NC 28112-4001
(704) 698-7934
(855) 515-1826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18982
NC
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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