Individual
ANGELA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3502 HENDERSON BLVD STE 208, TAMPA, FL 33609-3900
(813) 331-5250
Mailing address
211 E JEAN ST, TAMPA, FL 33604-6734
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT5068
FL
Other
Enumeration date
10/01/2025
Last updated
10/24/2025
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