Doctor Name: | JOAN E. JORDAN |
NPI Number: | 1013055987 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH 7351 |
Business Practice Address: | 12422 Westhampton Cir Wellington, FL - 334145580 |
Business Phone Number: | 5617982683 |
Business Fax Number: | |
Mailing Address: | 12422 Westhampton Cir, WELLINGTON |
State: | FL |
Postal Code: | 334145580 |
Phone Number: | 5617982683 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 7351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |