Individual
JORDAN MICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4445 WILLARD AVE, CHEVY CHASE, MD 20815-3690
(323) 205-7088
(833) 419-0181
Mailing address
2929 FM 2920 RD, SPRING, TX 77388-3428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25097
MD
Other
Enumeration date
12/14/2021
Last updated
12/15/2025
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