Individual
CHARLTON EDMOND JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(303) 364-3481
Mailing address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(303) 364-3481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CO
Other
Enumeration date
08/08/2020
Last updated
08/18/2020
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