Individual
JAUDONNA P JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1087 ALICE AVE, MEMPHIS, TN 38106-6543
(901) 259-1920
(901) 259-1922
Mailing address
1303 GLENN ST, MEMPHIS, TN 38106-4321
(901) 259-1920
(901) 259-1922
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
TN
101YM0800X
Mental Health Counselor
Primary
—
TN
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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