Individual
JORDAN ANDERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3362 UNIVERSITY AVE, WATERLOO, IA 50701-2006
(319) 235-6571
Mailing address
3362 UNIVERSITY AVE, WATERLOO, IA 50701-2006
(319) 235-6571
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
090264
IA
Other
Enumeration date
04/06/2015
Last updated
12/30/2024
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