person
Mr. Jordan Phillip Waters, REGISTEREDAPCC
Professional Counselor in Modesto, California
NPI 1316672595

Jordan Phillip Waters is a Professional Counselor based in Modesto, CA and is specialized in Professional. Jordan Phillip Waters practices in Modesto, CA and has the professional credentials of REGISTEREDAPCC. The NPI Number for Jordan Phillip Waters is 1316672595 and holds a License No. 12233 (California).

The current practice location address for Jordan Phillip Waters is 2000 W Briggsmore Ave, Modesto, CA and can be reached out via phone at 209-526-1440.

Location: 2000 W Briggsmore Ave, Modesto, CA, 95350-3839
person
Provider Profile Details
NPI Number
1316672595
Provider Name
Jordan Phillip Waters
Credential
REGISTEREDAPCC
Provider Entity Type
Individual
Gender
Male
Address
2000 W Briggsmore Ave, Modesto, CA, 95350-3839
Phone Number
209-526-1440
Fax Number
Provider Enumeration Date
07/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2000 W Briggsmore Ave
City
State
Zip
95350-3839
Phone Number
209-526-1440
Fax Number
person
Provider Business Mailing Address Details
Address
2000 W Briggsmore Ave
City
State
Zip
95350-3839
Phone Number
209-526-1440
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
12233 (California)
Definition
Definition to come...
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