Jordan, Tynette

Jordan, Tynette is an individual health care provider with primary practice located at 708 N.W Wilson St. , Lake City FL 32055. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jordan, Tynette can be contacted via phone (407) 680-8483.

Contact Information

Primary practice address
708 N.W Wilson St. Lake City FL 32055
Phone: (407) 680-8483
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1124439351
LBN Legal business name Jordan, Tynette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2014
Last updated May 9th, 2014 - about 11 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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