Jordan, Carolyn

Jordan, Carolyn is an sole proprietor health care provider with primary practice located at 1032 San Juan Dr Se , East Grand Rapids MI 49506-3453. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Jordan, Carolyn can be contacted via phone (714) 392-3040.

Contact Information

Primary practice address
1032 San Juan Dr Se East Grand Rapids MI 49506-3453
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 122324 California

Profile Details

NPI number 1083263479
LBN Legal business name Jordan, Carolyn
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2019
Last updated Aug 16th, 2021 - about 4 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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