Individual
ANNIE KIRSTEN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 387-8230
(269) 387-7026
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 387-8230
(269) 387-7026
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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