Constance, Jordan

Constance, Jordan is an sole proprietor health care provider with primary practice located at 30 Warren St , Boston MA 02135-3602. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Constance, Jordan can be contacted via phone (617) 254-3800.

Contact Information

Primary practice address
30 Warren St Boston MA 02135-3602
Phone: (617) 254-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Health 103TH0004X

Profile Details

NPI number 1467909671
LBN Legal business name Constance, Jordan
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2016
Last updated Sep 6th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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