Individual
DR. JENNIFER GORDON JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D., LPC
Contact information
Practice address
1414 DUG GAP RD, DALTON, GA 30720-5007
(706) 279-0405
Mailing address
3363 LAKEVIEW PKWY, VILLA RICA, GA 30180-7824
(706) 217-8848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009239
GA
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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