Tyler Brooke Jordan, LPC
Counselor, Professional in Flowood, MS. Individual provider (NPI-1).
NPI number1790453074
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1790453074
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tyler Brooke Jordan
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2021
- Certification date
- Sep 16, 2021
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 3124 | MS | Yes |
Practice location
344 Keyway Dr Ste AFlowood, MS 39232-8825
Phone 769-214-0836
Mailing address
926 Willow Grande CirBrandon, MS 39047-8312
Phone 601-941-7092
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