Individual
AMY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6767 N WICKHAM RD STE 400D, MELBOURNE, FL 32940-2025
(321) 698-4011
Mailing address
6767 N WICKHAM RD STE 400D, MELBOURNE, FL 32940-2025
(321) 698-4011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH10299
FL
Other
Enumeration date
10/31/2013
Last updated
11/12/2020
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