DAVID JORDAN

UTICA, NY
NPI1528675006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  107004-01)
Enumeration Date2020-09-28
Last Update Date2020-09-28
Business Address
DAVID JORDAN
1612 GENESEE ST
UTICA, NY 13502-5425
Phone number: 315-724-5173
Mailing Address
DAVID JORDAN
1612 GENESEE ST
UTICA, NY 13502-5425
Phone number: