JORDAN PHILLIP WATERS

MODESTO, CA
NPI1316672595
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  22034)
Enumeration Date2022-07-20
Last Update Date2026-04-03
Business Address
Mr. JORDAN PHILLIP WATERS Licensed PCC
2000 W BRIGGSMORE AVE
MODESTO, CA 95350-3839
Phone number: 209-526-1440
Mailing Address
Mr. JORDAN PHILLIP WATERS Licensed PCC
2000 W BRIGGSMORE AVE BUILDING A
MODESTO, CA 95350-3839
Phone number: 209-679-3114
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