Carolyn Jordan, LMFT is a
Marriage & Family Therapist based in East Grand Rapids, Michigan. Carolyn Jordan is licensed to practice in California (license number 122324) and her current practice location is
1032 San Juan Dr Se, East Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(714) 392-3040.
NPI number for Carolyn Jordan is 1083263479 and her current mailing address is 1032 San Juan Dr Se, East Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083263479.
Healthcare Provider's Profile
Full Name | Carolyn Jordan |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1032 San Juan Dr Se, East Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083263479
- Provider Enumeration Date: 09/09/2019
- Last Update Date: 08/16/2021
Medical Identifiers
Medical identifiers for Carolyn Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083263479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 122324 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Jordan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carolyn Jordan, LMFT 1032 San Juan Dr Se, East Grand Rapids, MI 49506-3453 Ph: (714) 392-3040 | Carolyn Jordan, LMFT 1032 San Juan Dr Se, East Grand Rapids, MI 49506-3453 Ph: (714) 392-3040 |
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