Individual
JORDAN ELLIOTT JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, TLLP
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 973-4060
(248) 385-4060
Mailing address
37825 WOODRIDGE DR APT 102, WESTLAND, MI 48185-5779
(734) 716-6206
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009999
MI
103TC1900X
Counseling Psychologist
6362009999
MI
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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