Individual
ANGELA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
514 S GHARKEY ST, MUNCIE, IN 47305-2241
(765) 717-4161
Mailing address
PO BOX 336, MUNCIE, IN 47308-0336
(765) 717-4161
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39002690A
IN
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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