Individual
MRS. JOHANNA R JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
328 ALEXANDER ST SE # N10, MARIETTA, GA 30060-2092
(770) 425-8265
Mailing address
328 ALEXANDER ST SE # N10, MARIETTA, GA 30060-2092
(770) 425-8265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014166
GA
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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