Individual
CHRISTOPHER WAYNE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(248) 979-0527
Mailing address
6309 MACK AVE, DETROIT, MI 48207-2302
(248) 979-0527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6451022776
MI
Other
Enumeration date
06/16/2022
Last updated
11/07/2023
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