Individual
JORDAN TIMOTHY NORTHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
384 CARRIAGE HOUSE DR STE C, JACKSON, TN 38305-2268
(731) 868-7297
Mailing address
842 N PARKWAY APT B6, JACKSON, TN 38305-3036
(731) 879-9212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2024
Last updated
06/15/2024
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