Individual
MADISON ANN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2909 WASHINGTON BLVD STE 214, OGDEN, UT 84401-3744
(435) 703-5201
Mailing address
2461 S GILMOUR ST, OGDEN, UT 84401-7086
(435) 703-5201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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