Individual
DANIEL PATRICK JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 CREST VIEW DR STE 120, HUDSON, WI 54016-9517
(651) 292-2434
Mailing address
900 CREST VIEW DR STE 120, HUDSON, WI 54016-9517
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11088
WI
101YM0800X
Mental Health Counselor
4635
MN
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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