Individual
JORDAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
4065 GLENCOE AVE, MARINA DEL REY, CA 90292-4600
(610) 570-4507
Mailing address
4065 GLENCOE AVE APT 310, MARINA DEL REY, CA 90292-6079
(610) 570-4507
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012365
PA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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