Individual
THOMAS W JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10592 MAIN ST, HAYWARD, WI 54843-6658
(715) 934-1381
(715) 934-2091
Mailing address
16402 W RAINBOW RD, HAYWARD, WI 54843-2527
(651) 808-3926
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
1085-124
WI
Other
Enumeration date
04/21/2014
Last updated
09/05/2024
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