Individual
MS. CHARRAE DEANNE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RIC, MA
Contact information
Practice address
2540 PROFESSIONAL RD STE 3, NORTH CHESTERFIELD, VA 23235-3213
(804) 546-8275
Mailing address
2540 PROFESSIONAL RD STE 3, NORTH CHESTERFIELD, VA 23235-3213
(804) 546-8275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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