Individual
MRS. ANDREA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1101 BROADWAY ST STE 230, VANCOUVER, WA 98660-3320
(360) 904-0741
Mailing address
9911 NE 86TH WAY, VANCOUVER, WA 98662-2119
(360) 904-0741
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC60220329
WA
Other
Enumeration date
02/08/2013
Last updated
07/15/2020
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