Individual
TERESA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
400 S BROADWAY ST, BURLINGTON, IA 52601-9407
(319) 752-4000
Mailing address
400 S BROADWAY ST, BURLINGTON, IA 52601-9407
(319) 752-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00965
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107314000
IOWA PLAN
IA
Enumeration date
10/05/2006
Last updated
03/04/2014
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