Individual provider · Type 1 NPI

Amanda Jordan

Professional Counselor · Goose Creek, SC

NPI number 1083222327 Active

Practice location

112 Eston Dr
Goose Creek, SC 29445-7131

Call (803) 899-5283 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X366 (SC)
Professional Counselor Primary 101YP2500X6951 (SC)

Professional Counselor: Definition to come...

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About NPI 1083222327

Amanda Jordan's National Provider Identifier is 1083222327, issued on Jul 22, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Goose Creek, SC. The record was last updated on Jul 22, 2020.