| Jordan Bridge Counseling Services | |
|
132 Bank St Suffolk VA 23434-4519 | |
| (757) 289-7743 | |
| Not Available |
| Full Name | Jordan Bridge Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 132 Bank St, Suffolk, Virginia |
| Authorized Official Name and Position | Nina Jordan (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7572897743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Bridge Counseling Services 132 Bank St Suffolk VA 23434-4519 Ph: (757) 289-7743 | Jordan Bridge Counseling Services 132 Bank St Suffolk VA 23434-4519 Ph: (757) 289-7743 |
| NPI Number | 1164175832 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164175832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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