Individual
MR. JORDAN DANIEL SEIDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
4700 WISSAHICKON AVE, PHILADELPHIA, PA 19144-4248
(215) 967-2130
(215) 967-2171
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005900
PA
Other
Enumeration date
11/29/2012
Last updated
05/23/2016
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