Individual
HEATHER ROSE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401018307
MI
106H00000X
Marriage & Family Therapist
4101006787
MI
Other
Enumeration date
03/21/2018
Last updated
04/30/2025
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