MRS. Clevevoya Daletrease Jordan, LPC, NCC

NPI #1548484132 in Hiram, Georgia

Provider Information

NPI Number
1548484132
Entity Type
Individual
Name
MRS. Clevevoya Daletrease Jordan, LPC, NCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC, NCC
Enumeration Date
Apr 13, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
127 ENTERPRISE PATH STE 401
City
Hiram
State
Georgia
ZIP Code
30141-2698
Phone
(770) 222-6622

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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