Individual
AMANDA S JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10601 N RIVERSIDE DR, KELLER, TX 76244-2118
(817) 347-2600
(817) 347-2610
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(828) 851-8606
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
37404
TX
Other
Enumeration date
08/23/2016
Last updated
05/28/2024
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