Individual
CHELSEA T JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
12948 COLDWATER RD STE 101, FORT WAYNE, IN 46845-8016
(260) 373-0880
(260) 373-0881
Mailing address
12948 COLDWATER RD STE 101, FORT WAYNE, IN 46845-8016
(260) 373-0880
(260) 373-0881
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
88001446A
IN
101YM0800X
Mental Health Counselor
Primary
39004897A
IN
Other
Enumeration date
12/06/2021
Last updated
03/25/2024
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