IndividualActive
Carolyn Jordan, LMFT
NPI 1083263479 · Marriage & Family Therapist · East Grand Rapids, MI
Provider details
- NPI number
- 1083263479
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 122324 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1032 San Juan Dr Se
East Grand Rapids, MI 49506-3453
Phone: (714) 392-3040
Approximate (ZIP-level) locationGet directions
Mailing address
1032 San Juan Dr Se
East Grand Rapids, MI 49506-3453
Registry dates
- Enumerated
- 2019-09-09
- Last updated
- 2021-08-16
- Certified
- 2021-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.