Individual
JORDAN MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
140 E RIDGEWOOD AVE STE 415, PARAMUS, NJ 07652-3915
(201) 820-7380
Mailing address
5 PITCAIRN AVE, HO HO KUS, NJ 07423-1622
(201) 820-7380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00902800
NJ
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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