BETH ELLEN JORDAN

MATTOON, IL
NPI1205399326
Former NameBETH ELLEN PENDERGAST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-04-08
Last Update Date2019-04-08
Business Address
BETH ELLEN JORDAN RSA
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
Mailing Address
BETH ELLEN JORDAN RSA
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number:
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