Provider Demographics
NPI:1275784043
Name:SYBRANDT, JORDAN D (MA)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:D
Last Name:SYBRANDT
Suffix:
Gender:M
Credentials:MA
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Other - Credentials:
Mailing Address - Street 1:9465 FARNHAM ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1308
Mailing Address - Country:US
Mailing Address - Phone:858-573-2600
Mailing Address - Fax:619-425-8349
Practice Address - Street 1:330 S. MAGNOLIA AVE
Practice Address - Street 2:STE 302
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020
Practice Address - Country:US
Practice Address - Phone:619-442-5434
Practice Address - Fax:619-312-6741
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2011-07-27
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health