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Contact Information

IRENE JORDAN, DOCTORATE
2115 MILLBURN AVE STE 104
MAPLEWOOD, NJ07040-3714
 Phone: 973-850-9554
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Marriage & Family Therapist

106H00000X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for IRENE JORDAN · (Female)

NPI # 1629899034
Status Active
Credentials DOCTORATE
Entity Individual
Enumeration date 10/18/2024
Last updated 10/18/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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