Most Relevant Information
Provider Data
| NPI Number: | 1003348962 |
| Provider Name: | JOURDAN STOLLEY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 86699 |
Most Important Dates
| Enumeration Date: | 03/30/2017 |
| Last Updated: | 08/05/2021 |
Provider Practice Location
13130 BURBANK BLVD
SHERMAN OAKS
CA
914016000
Practice Location Phone/Fax
| Phone: | 8187810360 |
| Fax: |
Provider Mailing Location
13130 BURBANK BLVD
SHERMAN OAKS
CA
914016037
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |