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Jason Terry Jordan, LPC

Counselor, Mental Health in Greenville, TX. Individual provider (NPI-1).

NPI number1912918293
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1912918293
Entity type
Individual (NPI-1)
Name
Jason Terry Jordan
Credential
LPC
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 11, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health13295TXYes

Practice location

2611 Lee St
Greenville, TX 75401-4247

Phone 903-454-6334 · Fax 903-454-1153

Mailing address

2611 Lee St
Greenville, TX 75401-4247

Phone 903-454-6334 · Fax 903-454-1153

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