Individual
ASHLEY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E LEMON STREET, FULLERTON, CA 92834
(909) 866-5070
Mailing address
PO BOX 1927, BIG BEAR LAKE, CA 92315-1927
(909) 866-5070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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