| NPI | 1760791248 |
|---|---|
| Professional Name | BETH JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc00759) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303640) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2014-09-29 |