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Organization
JAMES R JORDAN MS, NCC, LICENSED MENTAL HEALTH COUNSELOR, PLLC
Active
Organization
JAMES R JORDAN MS, NCC, LICENSED MENTAL HEALTH COUNSELOR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RAYMOND JORDAN MS, NCC, LMHC (OWNER)
(631) 786-0842
Entity
Organization
Contact information
Practice address
595 ROUTE 25A, SUITE #15, MILLER PLACE, NY 11764-2646
(631) 786-0842
Mailing address
PO BOX 63, MIDDLE ISLAND, NY 11953-0063
(631) 786-0842
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004425
NY
Other
Enumeration date
03/20/2013
Last updated
04/30/2015
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