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1679044812
JORDAN MICHAEL EDMONDSON
DALLAS, TX
NPI
1679044812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 66241)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
JORDAN MICHAEL EDMONDSON LPC
4228 N CENTRAL EXPY STE 225
DALLAS, TX 75206-6548
Phone number: 214-763-8584
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Mailing Address
JORDAN MICHAEL EDMONDSON LPC
4730 FAIRMOUNT ST APT 6202
DALLAS, TX 75219-1119
Phone number: 214-763-8584
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