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Individual
XENIA JORDAN
Active
Individual
XENIA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.012336
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180012336
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
07/19/2019
Last updated
08/27/2021
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