Jordan, Amanda

Jordan, Amanda is an sole proprietor health care provider with primary practice located at 112 Eston Dr , Goose Creek SC 29445-7131. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jordan, Amanda can be contacted via phone (803) 899-5283.

Contact Information

Primary practice address
112 Eston Dr Goose Creek SC 29445-7131
Phone: (803) 899-5283
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 366 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 6951 South Carolina

Profile Details

NPI number 1083222327
LBN Legal business name Jordan, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2020
Last updated Jul 22nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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