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Grace Diane Jordan
Mental Health Counselor in Centralia, Washington
NPI 1568080463

Grace Diane Jordan is a Mental Health Counselor based in Centralia, WA and is specialized in Mental Health. Grace Diane Jordan practices in Centralia, WA. The NPI Number for Grace Diane Jordan is 1568080463 and holds a License No. (Washington).

The current practice location address for Grace Diane Jordan is 3510 Steelhammer Lane, Centralia, WA and can be reached out via phone at 360-561-0311.

Location: 3510 Steelhammer Lane, Centralia, WA, 98531-4551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568080463
Provider Name
Grace Diane Jordan
Credential
Provider Entity Type
Individual
Gender
Female
Address
3510 Steelhammer Lane, Centralia, WA, 98531-4551
Phone Number
360-561-0311
Fax Number
Provider Enumeration Date
07/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3510 Steelhammer Lane
City
Centralia
State
Washington
Zip
98531-4551
Phone Number
360-561-0311
Fax Number
person
Provider Business Mailing Address Details
Address
3510 Steelhammer Lane
City
Centralia
State
Washington
Zip
98531-4551
Phone Number
360-561-0311
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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