Individual
JORDAN ALEXIS GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CASCADE WEST PKWY SE STE 240, GRAND RAPIDS, MI 49546-2166
(616) 591-9000
(616) 591-9060
Mailing address
500 CASCADE WEST PKWY SE STE 240, GRAND RAPIDS, MI 49546-2166
(616) 591-9000
(616) 591-9060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6352000976
MI
Other
Enumeration date
04/30/2024
Last updated
05/02/2024
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