Individual provider · Type 1 NPI

Desiree Jordan

Mental Health Counselor · Bronx, NY

NPI number 1104247170 Active

Practice location

2527 Glebe Ave
Bronx, NY 10461-3109

Fax (718) 904-7054

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X072551-1 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1104247170

Desiree Jordan's National Provider Identifier is 1104247170, issued on Dec 18, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Dec 18, 2013.