Individual
MS. MARY JAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
536 FIRESIDE COURT, SUITE D, LAWRENCE, KS 66049-2300
(785) 841-0307
(785) 832-1710
Mailing address
9700 W 87TH ST, OVERLAND PARK, KS 66212-4563
(913) 433-2061
(913) 262-0818
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
139
KS
Other
Enumeration date
10/19/2006
Last updated
04/25/2008
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