Individual
KIM YVETTE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
2018 SYCAMORE DR, BEDFORD HEIGHTS, OH 44146-2314
(216) 246-9437
(216) 250-8185
Mailing address
2018 SYCAMORE DR, BEDFORD HEIGHTS, OH 44146-2314
(216) 246-9437
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1100473-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0249061
—
OH
Enumeration date
09/01/2017
Last updated
01/25/2023
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