Individual
MRS. JORDAN L. DE JONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6475 WALL ST STE 150, COLORADO SPRINGS, CO 80918-8374
(719) 301-9580
Mailing address
6475 WALL ST STE 150, COLORADO SPRINGS, CO 80918-8374
(571) 528-7402
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
0012289
CO
Other
Enumeration date
12/10/2012
Last updated
12/18/2023
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