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Individual

JORDAN JEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
2285 BENDEN DR, WOOSTER, OH 44691-2568
(330) 264-9029
Mailing address
2285 BENDEN DR, WOOSTER, OH 44691-2568

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.2103363
OH
101YM0800X
Mental Health Counselor
Primary
E.2303533
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0406401
OH
Enumeration date
06/10/2020
Last updated
03/11/2025
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