Individual
MELISSA ILIONE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
620 E AFTON OAKS BLVD, SAN ANTONIO, TX 78232-1236
(210) 568-8554
Mailing address
4419 EL SIMPATICO ST, SAN ANTONIO, TX 78233-6800
(210) 268-3702
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201410
TX
Other
Enumeration date
06/22/2007
Last updated
09/03/2010
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