Individual
JASON JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
116 WILSON PIKE CIR, SUITE 207A, BRENTWOOD, TN 37027-2706
(615) 995-5180
Mailing address
2113 SPARTAN CT, MURFREESBORO, TN 37128-5397
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2743
TN
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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