Individual
ERIC DOUGLAS JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 MASON HILLS DR, MASON, MI 48854-1285
(517) 648-3456
Mailing address
804 MASON HILLS DR, MASON, MI 48854-1285
(517) 648-3456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401018829
MI
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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