Jordan Wall
Jordan Wall is a Mental Health Counselor in Azusa, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
23701 E East Fork RdAzusa, CA 91702-1477
Phone: (626) 910-1202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (CA) |
|---|
Record details
| NPI number | 1326915224 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 23, 2025 |
| Last updated in NPPES | October 23, 2025 |
| Certification date | October 23, 2025 |
| Mailing address | 23701 E East Fork Rd, Azusa, CA 91702-1477 |
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Vanessa Crystal Salas
23701 E East Fork Rd, Azusa, CA 91702-1477 · (626) 910-1202