Organization
RA JORDAN CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALIE A JORDAN M.A. (LPCC)
(505) 345-2778
Entity
Organization
Contact information
Practice address
320 OSUNA RD NE STE H4, ALBUQUERQUE, NM 87107-5955
(505) 345-2778
(505) 345-2878
Mailing address
320 OSUNA RD NE STE H4, ALBUQUERQUE, NM 87107-5955
(505) 345-2778
(505) 345-2878
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0106
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
516463954
—
NM
Enumeration date
01/25/2017
Last updated
01/25/2017
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