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Individual
MRS. KRISTINA JORDEN
Active
Individual
MRS. KRISTINA JORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904011441
VA
1041C0700X
Clinical Social Worker
0904011441
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
844864334
KRISTINA JORDEN
VA
Enumeration date
01/14/2020
Last updated
07/01/2022
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