Individual
JORDAN ANDERSON ROYALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CMHT
Contact information
Practice address
6880 COBBLESTONE BLVD STE 1, SOUTHAVEN, MS 38672-9313
(622) 253-8324
Mailing address
6880 COBBLESTONE BLVD STE 1, SOUTHAVEN, MS 38672-9313
(622) 253-8324
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1516
MS
101YP2500X
Professional Counselor
Primary
2642
MS
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/20/2020
Last updated
09/01/2022
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