Individual
JORDAN WESTFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
926 WILLARD DR STE 126, GREEN BAY, WI 54304-5071
(920) 461-5820
Mailing address
815 GLENPARK DR, GREEN BAY, WI 54313-6913
(920) 676-4500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7611-226
WI
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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