| NPI | 1164175832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA JORDAN Licensed Professional Counselor 757-289-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |