Individual
CHRISTY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N THACKER AVE, SUITE D58, KISSIMMEE, FL 34741-4892
(407) 738-6353
Mailing address
600 N THACKER AVE, SUITE D58, KISSIMMEE, FL 34741-4892
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MH19398
FL
Other
Enumeration date
11/08/2016
Last updated
04/03/2025
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