| Doctor Name: | JENNIFER M JORDAN |
| NPI Number: | 1316252513 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | |
| Business Practice Address: | 2200 Pacific Coast Hwy Suite 209 Hermosa Beach, CA - 902542757 |
| Business Phone Number: | 3106982185 |
| Business Fax Number: | |
| Mailing Address: | 2200 Pacific Coast Hwy, Suite 209 HERMOSA BEACH |
| State: | CA |
| Postal Code: | 902542757 |
| Phone Number: | 3106982185 |
| Fax Number: | |
| NPI Enumeration Date: | 08/11/2010 |
| NPI Last Update Date: | 04/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |