Individual
MR. JOSHUA SELMA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
9283 W US 84, NEWTON, AL 36352-8207
(334) 692-4455
Mailing address
9283 W US 84, NEWTON, AL 36352-8207
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5867G
AL
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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