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Individual
RICHARD JORDAN
Active
Individual
RICHARD JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2019
TX
101YP2500X
Professional Counselor
Primary
65218
TX
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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