Individual
JOHANNA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2221 LEE RD, SUITE 23, WINTER PARK, FL 32789-1864
(407) 628-8494
(407) 628-8219
Mailing address
2221 LEE RD, SUITE 23, WINTER PARK, FL 32789-1864
(407) 628-8494
(407) 628-8219
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1204
FL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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