Individual
DR. IRENE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTORATE
Contact information
Practice address
2115 MILLBURN AVE STE 104, MAPLEWOOD, NJ 07040-3714
(973) 850-9554
Mailing address
2115 MILLBURN AVE STE 104, MAPLEWOOD, NJ 07040-3714
(973) 850-9554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NJ
101YP1600X
Pastoral Counselor
—
NJ
106H00000X
Marriage & Family Therapist
—
NJ
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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