Individual
JEREMY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4760 MADISON RD, 1ST FLOOR, CINCINNATI, OH 45227-1426
(513) 861-0035
Mailing address
4760 MADISON RD, 1ST FLOOR, CINCINNATI, OH 45227-1426
(513) 861-0035
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1500310
OH
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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