Individual
CAROLYN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1032 SAN JUAN DR SE, EAST GRAND RAPIDS, MI 49506-3453
(714) 392-3040
Mailing address
1032 SAN JUAN DR SE, EAST GRAND RAPIDS, MI 49506-3453
(714) 392-3040
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
122324
CA
Other
Enumeration date
09/09/2019
Last updated
08/16/2021
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