Individual provider · Type 1 NPI

Ellen Christine Jordan, MFT

Mental Health Counselor · Sebastopol, CA

NPI number 1649450206 Active

Practice location

446 S High St
Sebastopol, CA 95472-4369

Call (707) 824-8237 Map

Fax (707) 824-8237

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFT32139 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1649450206

Ellen Christine Jordan, MFT's National Provider Identifier is 1649450206, issued on Nov 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sebastopol, CA. The record was last updated on Nov 11, 2007.