Mr. Jordan Phillip Waters, LICENSEDPCC
Mr. Jordan Phillip Waters, LICENSEDPCC is a Mental Health Counselor in Modesto, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
2000 W Briggsmore AveModesto, CA 95350-3839
Phone: (209) 526-1440
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 22034 (CA) |
|---|
Record details
| NPI number | 1316672595 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICENSEDPCC |
| Sole proprietor | Yes |
| NPI enumerated | July 21, 2022 |
| Last updated in NPPES | April 3, 2026 |
| Certification date | April 3, 2026 |
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