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Individual
LESLIE ALICE JORDAN
Active
Individual
LESLIE ALICE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CAC III
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3933
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
6210
CO
Other
Enumeration date
09/12/2007
Last updated
08/10/2010
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