person
Mrs. Millicent Clemons Jordan, LPC
Mental Health Counselor in Charleston, South Carolina
NPI 1235194218

Millicent Clemons Jordan is a Mental Health Counselor based in Charleston, SC and is specialized in Mental Health. Millicent Clemons Jordan practices in Charleston, SC and has the professional credentials of LPC. The NPI Number for Millicent Clemons Jordan is 1235194218 and holds a License No. 2623 (South Carolina).

The current practice location address for Millicent Clemons Jordan is 1 Carriage Ln, Charleston, SC and can be reached out via phone at 843-573-5050 and via fax at 843-573-5030.

Location: 1 Carriage Ln, Charleston, SC, 29407-6060
person
Provider Profile Details
NPI Number
1235194218
Provider Name
Millicent Clemons Jordan
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1 Carriage Ln, Charleston, SC, 29407-6060
Phone Number
843-573-5050
Fax Number
843-573-5030
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202569 01 SC MEDICAID HO
institution
Provider Business Practice Location Address Details
Address
1 Carriage Ln
City
State
Zip
29407-6060
Phone Number
843-573-5050
Fax Number
843-573-5030
person
Provider Business Mailing Address Details
Address
1 Carriage Ln
City
State
Zip
29407-6060
Phone Number
843-573-5050
Fax Number
843-573-5030
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2623 (South Carolina)
Definition
Definition to come...
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