Individual
JEFFREY EDWARD JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3342 E 137TH ST, CLEVELAND, OH 44120-3902
(216) 338-2061
Mailing address
3342 E 137TH ST, CLEVELAND, OH 44120-3902
(216) 338-2061
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
187177
OH
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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