Individual
JORDAN HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
(615) 460-4200
Mailing address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TN
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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