Individual
MR. JORDAN MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
2209 E 3RD ST, TUCSON, AZ 85719-5108
(415) 516-4714
Mailing address
2209 E 3RD ST, TUCSON, AZ 85719-5108
(415) 516-4714
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
50595
CA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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