Individual
ANDRINA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
801 HAZEN ST, PAW PAW, MI 49079-2008
(269) 655-3334
(269) 657-6523
Mailing address
PO BOX 931383, NORCROSS, GA 30003
(678) 744-5603
(877) 278-1045
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009892
MI
Other
Enumeration date
03/31/2015
Last updated
05/31/2017
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