Individual
KAYLA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, NCC
Contact information
Practice address
830 GLENWOOD AVE SE STE 510-332, ATLANTA, GA 30316-1966
(404) 445-5744
Mailing address
1013 YORKSHIRE DR, GRIFFIN, GA 30223-5897
(404) 987-1620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/06/2022
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