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Individual

MRS. CYNTHIA ADRIENNE JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, MS, MARRIAGE

Contact information

Practice address
1170 PEARL ST, EUGENE, OR 97401-3541
(541) 221-9514
Mailing address
1170 PEARL ST, OSLC OCP, EUGENE, OR 97401-3541
(541) 221-9514
(541) 743-4369

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
106H00000X
Marriage & Family Therapist
LF60465103
WA
106H00000X
Marriage & Family Therapist
Primary
T0931
OR

Other

Enumeration date
01/03/2008
Last updated
06/17/2014
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