Individual
DR. JORDAN NICOLE KENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.011301
IL
103TR0400X
Rehabilitation Psychologist
—
AL
Other
Enumeration date
12/08/2023
Last updated
06/05/2025
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