Jordan, Susan Kleck

Jordan, Susan Kleck is an sole proprietor health care provider with primary practice located at 900 Trail Ridge Rd Ste 126 , Aiken SC 29803-7765. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jordan, Susan Kleck can be contacted via phone (803) 998-8008.

Contact Information

Primary practice address
900 Trail Ridge Rd Ste 126 Aiken SC 29803-7765
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 8046 South Carolina

Profile Details

NPI number 1093898926
LBN Legal business name Jordan, Susan Kleck
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jun 21st, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093898926 NPPES
South Carolina MEDICAID 1417719915

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