Wilson Jordan, Peggy Margaret

Wilson Jordan, Peggy Margaret is an individual health care provider with primary practice located at 12450 Van Nuys Blvd Ste 200 , Pacoima CA 91331-1393. 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. Wilson Jordan, Peggy Margaret can be contacted via phone (818) 896-1161.

Contact Information

Primary practice address
12450 Van Nuys Blvd Ste 200 Pacoima CA 91331-1393
Phone: (818) 896-1161
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1871611194
LBN Legal business name Wilson Jordan, Peggy Margaret
Credentials PH.D., M.F.T., A.T.R
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated May 10th, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871611194 NPPES
California MEDICAID 7068
California MEDICAID 7420

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