Individual
MS. JORDAN CATHERINE URBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
406 W MOUNT PLEASANT AVE, PHILADELPHIA, PA 19119-2961
(215) 390-6908
Mailing address
634 MARTIN ST, PHILADELPHIA, PA 19128-1621
(215) 390-6908
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000594
PA
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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