Susan K Jordan Counseling | |
900 Trail Ridge Rd Ste 126 Aiken SC 29803-7765 | |
(803) 998-8008 | |
Not Available |
Full Name | Susan K Jordan Counseling |
---|---|
Speciality | Counselor - Professional |
Location | 900 Trail Ridge Rd Ste 126, Aiken, South Carolina |
Authorized Official Name and Position | Susan Kleck Jordan (OWNER) |
Authorized Official Contact | 8039988008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Susan K Jordan Counseling 900 Trail Ridge Rd Ste 126 Aiken SC 29803-7765 Ph: (803) 998-8008 | Susan K Jordan Counseling 900 Trail Ridge Rd Ste 126 Aiken SC 29803-7765 Ph: (803) 998-8008 |
NPI Number | 1417719915 |
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Provider Enumeration Date | 01/29/2024 |
Last Update Date | 06/21/2024 |
Certification Date | 06/21/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417719915 | NPI | - | NPPES |
1093898926 | Other | INDIVIDUAL NPI 1 | |
SCS8470281 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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