Individual
LINDA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHT
Contact information
Practice address
4025 N 92ND ST, WAUWATOSA, WI 53222-1613
(601) 494-9524
Mailing address
4025 N 92ND ST, WAUWATOSA, WI 53222-1613
(601) 494-9524
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2040
MS
101YM0800X
Mental Health Counselor
Primary
2040
WI
Other
Enumeration date
09/23/2014
Last updated
11/07/2022
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