person
Ms. Keyana Tanie Jordan
Mental Health Counselor in Jamestown, North Carolina
NPI 1902457682

Keyana Tanie Jordan is a Mental Health Counselor based in Jamestown, NC and is specialized in Mental Health. Keyana Tanie Jordan practices in Jamestown, NC. The NPI Number for Keyana Tanie Jordan is 1902457682 and holds a License No. LCAS-25905 (North Carolina).

The current practice location address for Keyana Tanie Jordan is 4508 Crowne Lake Cir Apt 1D, Jamestown, NC and can be reached out via phone at 252-314-7403.

Location: 4508 Crowne Lake Cir Apt 1D, Jamestown, NC, 27282-7921
person
Provider Profile Details
NPI Number
1902457682
Provider Name
Keyana Tanie Jordan
Credential
Provider Entity Type
Individual
Gender
Female
Address
4508 Crowne Lake Cir Apt 1D, Jamestown, NC, 27282-7921
Phone Number
252-314-7403
Fax Number
Provider Enumeration Date
09/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4508 Crowne Lake Cir Apt 1D
City
State
Zip
27282-7921
Phone Number
252-314-7403
Fax Number
person
Provider Business Mailing Address Details
Address
4508 Crowne Lake Cir Apt 1D
City
State
Zip
27282-7921
Phone Number
252-314-7403
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A15383 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCAS-25905 (North Carolina)
Definition
Definition to come...
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