Individual
JORDAN LANI AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LCMHCA
Contact information
Practice address
1427 MILITARY CUTOFF RD STE 211, WILMINGTON, NC 28403-3696
(336) 675-8287
Mailing address
1427 MILITARY CUTOFF RD, WILMINGTON, NC 28403-3692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A12776
NC
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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