Individual
CHRISTINE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
2220 GIRARD ST, SAN JACINTO, CA 92583-5301
(951) 683-6596
Mailing address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504-2037
(951) 683-6596
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
24408
CA
Other
Enumeration date
01/02/2019
Last updated
11/19/2025
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