Individual
DANIEL S JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W MAIN ST, FORT WAYNE, IN 46802-1406
(260) 421-5000
(260) 421-5003
Mailing address
500 W MAIN ST, FORT WAYNE, IN 46802-1406
(260) 421-5000
(260) 421-5003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004746A
IN
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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