Provider Demographics
NPI:1225824774
Name:HUDSON, JORDYN (LMFT)
Entity type:Individual
Prefix:
First Name:JORDYN
Middle Name:
Last Name:HUDSON
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7304 JORDYN CT
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-6292
Mailing Address - Country:US
Mailing Address - Phone:657-726-2501
Mailing Address - Fax:
Practice Address - Street 1:7304 JORDYN CT
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-6292
Practice Address - Country:US
Practice Address - Phone:714-330-9468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA130938106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist