Jordan Wall
NPI #1326915224 in Azusa, California
Provider Information
- NPI Number
- 1326915224
- Entity Type
- Individual
- Name
- Jordan Wall
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 23, 2025
- Last Updated
- Oct 23, 2025
Practice Location
- Address
- 23701 E EAST FORK RD
- City
- Azusa
- State
- California
- ZIP Code
- 91702-1477
- Phone
- (626) 910-1202
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