Individual
NICOLE ANDREWS JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
476 PINEBROOK CIR, BRANDON, MS 39047-7830
(601) 214-5800
Mailing address
476 PINEBROOK CIR, BRANDON, MS 39047-7830
(601) 214-5800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
3052
MS
Other
Enumeration date
05/23/2024
Last updated
06/06/2024
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