Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLYN JORDAN, LMFT
Active Sole ProprietorCAROLYN JORDAN, LMFT is a Marriage & Family Therapist healthcare provider located in EAST GRAND RAPIDS, Michigan. NPI 1083263479 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · EAST GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1083263479
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2019 (6.8862941499736 yrs)
- Last Updated
- Aug 16, 2021
- License
-
122324 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1032 SAN JUAN DR SEEAST GRAND RAPIDS, MI, 495063453Browse MI providers · Browse ZIP 49506
- Phone
- 7143923040
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.