Individual
ROSLYN M JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
525 SANTA MONICA BLVD APT 207, SANTA MONICA, CA 90401-3610
(312) 857-5653
Mailing address
525 SANTA MONICA BLVD APT 207, SANTA MONICA, CA 90401-3610
(312) 857-5653
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.014415
IL
101YP2500X
Professional Counselor
Primary
180.015694
IL
Other
Enumeration date
11/15/2019
Last updated
10/31/2024
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