DIANE M JORDAN

KINGSTON, NY
NPI1770301723
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  082878)
Enumeration Date2024-09-30
Last Update Date2024-09-30
Business Address
DIANE M JORDAN
70 KUKUK LN
KINGSTON, NY 12401-6943
Phone number: 845-336-2616
Mailing Address
DIANE M JORDAN
70 KUKUK LN
KINGSTON, NY 12401-6943
Phone number: 845-336-2616