Individual
ELISABETH MONTGOMERY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1902 CARRIAGE HOUSE LN, CAMDEN, SC 29020-2752
(803) 669-3546
Mailing address
1902 CARRIAGE HOUSE LN, CAMDEN, SC 29020-2752
(803) 669-3546
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6072
SC
Other
Enumeration date
06/06/2013
Last updated
05/04/2023
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