Provider Demographics
NPI:1982120663
Name:FINK, JORDAN ELAINE (CES)
Entity type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:ELAINE
Last Name:FINK
Suffix:
Gender:
Credentials:CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77564 COUNTRY CLUB DR STE 150
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-6225
Mailing Address - Country:US
Mailing Address - Phone:760-772-8237
Mailing Address - Fax:
Practice Address - Street 1:77564 COUNTRY CLUB DR STE 150
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-6225
Practice Address - Country:US
Practice Address - Phone:760-772-8237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT115290106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist