Individual
JORDIA MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5410 POWERS CENTER PT STE 210, COLORADO SPRINGS, CO 80920-7148
(719) 203-2014
(719) 203-2014
Mailing address
5410 POWERS CENTER PT STE 210, COLORADO SPRINGS, CO 80920-7148
(719) 203-2014
(719) 203-2014
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0016007
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
451594414
GROUP TAX ID
CO
Enumeration date
08/03/2020
Last updated
08/03/2020
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