Individual
CORTEZ TRENTON JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3502
(586) 263-8700
Mailing address
9654 GRANDMONT AVE, DETROIT, MI 48227-1073
(313) 221-0729
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451024079
MI
Other
Enumeration date
01/06/2025
Last updated
02/03/2025
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