Individual
ANDREA PAOLA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1485 STONEBROOK ST, AZUSA, CA 91702-1423
(626) 818-4926
Mailing address
1485 STONEBROOK ST, AZUSA, CA 91702-1423
(626) 818-4926
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/22/2011
Last updated
01/08/2014
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