Jordan, James Robert
Jordan, James Robert is an sole proprietor health care provider with primary practice located at 2045 Professional Center Dr , Orange Park FL 32073-4461. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Jordan, James Robert can be contacted via phone (904) 415-9432.Contact Information
Primary practice address
2045 Professional Center Dr
Orange Park FL 32073-4461
Phone: (904) 415-9432
Fax: (904) 213-0032
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Florida | |
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | Florida | |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
NPI number | 1326384934 |
---|---|
LBN Legal business name | Jordan, James Robert |
Credentials | PSYCHOLOGIST P H .D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 31st, 2012 |
Last updated | Dec 31st, 2012 - about 12 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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