Individual
CAROL JEAN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
5747 WATT AVE, NORTH HIGHLANDS, CA 95660-4751
(916) 876-8023
(916) 876-7470
Mailing address
10001 WOODCREEK OAKS BLVD APT 517, ROSEVILLE, CA 95747-5103
(916) 773-2886
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC 36474
CA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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