GEANCARLO ISRAEL JORDAN

NEW YORK, NY
NPI1508602087
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  18-P118246-01)
Enumeration Date2024-07-03
Last Update Date2024-07-03
Business Address
GEANCARLO ISRAEL JORDAN MHC-LP
303 5TH AVE RM 1503
NEW YORK, NY 10016-6666
Phone number: 646-359-4345
Mailing Address
GEANCARLO ISRAEL JORDAN MHC-LP
1416 WYTHE PL APT 1A
BRONX, NY 10452-6921
Phone number: 646-359-4345