Individual
JEFFREY LEE JORDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
210 30TH AVE N APT 301, NASHVILLE, TN 37203-1583
(505) 585-1113
Mailing address
210 30TH AVE N APT 301, NASHVILLE, TN 37203-1583
(505) 585-1113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C-12097
NM
101YM0800X
Mental Health Counselor
CW021943
PA
Other
Enumeration date
02/13/2022
Last updated
02/13/2022
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