Jerry Wallace Jordan in Stockton - Mental Health
Jerry Wallace Jordan - NPI 1346414851
Jerry Wallace Jordan is a Mental Health in Stockton, California. Jerry Wallace Jordan practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jerry Wallace Jordan is 1346414851. The last update date is 2008-04-15.
Jerry Wallace Jordan's current location address is 445 N San Joaquin St, Stockton, California. You can contact this provider via phone number 2099430353. The mailing address for Jerry Wallace Jordan is 445 N San Joaquin St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Wallace Jordan |
|---|---|
| Address | 445 N San Joaquin St, Stockton, California |
| Phone Number | 2099430353 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1346414851 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
| Address | 445 N San Joaquin St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952022003 |
| Phone Number | 2099430353 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerry Wallace Jordan by the Centers for Medicare & Medicaid Services?
The Jerry Wallace Jordan has been issued the NPI (National Provider Identifier) 1346414851, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jerry Wallace Jordan?
The Jerry Wallace Jordan is situated at 445 N San Joaquin St, in the city of Stockton, state of CA, with the zip code 952022003.
What is the area of specialization for Jerry Wallace Jordan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerry Wallace Jordan is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did Jerry Wallace Jordan receive its 1346414851 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Wallace Jordan was assigned its 1346414851 on 2008-04-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jerry Wallace Jordan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerry Wallace Jordan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-15.
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