Individual
XIOMARA MARISA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 PULLMAN ST, LIVERMORE, CA 94551-9756
(209) 606-9565
Mailing address
1925 DON PEDRO RD, CERES, CA 95307-3515
(209) 606-9565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
98164
CA
Other
Enumeration date
09/13/2016
Last updated
11/17/2023
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