James R Jordan Ms, Ncc, Licensed Mental Health Counselor, Pllc

NPI #1922340785 in Miller Place, New York

Provider Information

NPI Number: 1922340785
Entity Type: Organization
Organization Name: James R Jordan Ms, Ncc, Licensed Mental Health Counselor, Pllc
Primary Specialty: Counselor - Mental Health
Enumeration Date: Mar 20, 2013
Last Updated: Apr 30, 2015

Practice Location

Address: 595 ROUTE 25A
Address 2: SUITE #15
City: Miller Place
State: New York
ZIP Code: 11764-2646
Phone: (631) 786-0842

Authorized Official

Name: MR. JAMES RAYMOND JORDAN, MS, NCC, LMHC
Title: OWNER
Phone: (631) 786-0842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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