Individual
MS. DIANE KATHRYN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CCS
Contact information
Practice address
156 NEPTUNE AVE, JERSEY CITY, NJ 07305-2508
(201) 918-6051
Mailing address
156 NEPTUNE AVE, JERSEY CITY, NJ 07305-2508
(201) 918-6051
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00098000
NJ
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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