Provider Demographics
NPI:1659826378
Name:JORDAN, FRANCO (MASTERS/CERTIFIED)
Entity Type:Individual
Prefix:MRS
First Name:FRANCO
Middle Name:
Last Name:JORDAN
Suffix:
Gender:F
Credentials:MASTERS/CERTIFIED
Other - Prefix:MRS
Other - First Name:FRANCO
Other - Middle Name:V
Other - Last Name:JORDAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MASTERS/ CERTIFICATI
Mailing Address - Street 1:1473 HIGHWAY 20 W
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-7306
Mailing Address - Country:US
Mailing Address - Phone:770-875-4066
Mailing Address - Fax:866-225-1157
Practice Address - Street 1:1473 HIGHWAY 20 W
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-7306
Practice Address - Country:US
Practice Address - Phone:770-875-4066
Practice Address - Fax:866-225-1157
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA06166068101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor