Individual
JORDAN POISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
(248) 436-4476
Mailing address
106 48TH ST SE, KENTWOOD, MI 49548-4404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401224945
MI
101YP2500X
Professional Counselor
Primary
6401224945
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/11/2019
Last updated
02/18/2025
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