Individual
KRYSTLE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
36 IVORY RD, BLOOMFIELD, CT 06002-2607
(860) 728-8245
Mailing address
36 IVORY RD, BLOOMFIELD, CT 06002-2607
(860) 728-8245
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
18036417
CT
106H00000X
Marriage & Family Therapist
Primary
3576
CT
Other
Enumeration date
12/14/2021
Last updated
08/22/2025
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