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Individual

DR. JAMES ROBERT JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYCHOLOGIST P H .D

Contact information

Practice address
2045 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073-4461
(904) 415-9432
(904) 213-0032
Mailing address
2045 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073-4461
(904) 415-9432
(904) 213-0032

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
FL
101YP1600X
Pastoral Counselor
FL
106H00000X
Marriage & Family Therapist

Other

Enumeration date
12/31/2012
Last updated
12/31/2012
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