Individual
JAMES B JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
453 CERRILLOS RD STE E, SANTA FE, NM 87501-3784
(505) 699-6440
(505) 699-6440
Mailing address
453 CERRILLOS RD., BLDG. E, SANTA FE, NM 87501
(505) 699-6440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0108141
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33552070
—
NM
Enumeration date
07/07/2008
Last updated
07/21/2022
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