Individual
CATINA LEE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MENTAL HEALTH WORKER
Contact information
Practice address
344 PLACERVILLE DR, #17, PLACERVILLE, CA 95667
(530) 621-6346
Mailing address
685 PLACERVILLE DR, PMB 389, PLACERVILLE, CA 95667
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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