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Individual

JORDON AVERY STANFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT-A

Contact information

Practice address
2911 MEDICAL ARTS ST STE 19A, AUSTIN, TX 78705-3329
(737) 216-2384
Mailing address
6309 CAPRIOLA DR, AUSTIN, TX 78745-3715
(435) 669-0568

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203993
TX

Other

Enumeration date
08/05/2021
Last updated
08/05/2021
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