Individual
RANDY JAMES JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
710 S HOLLY ST STE 10, SILOAM SPRINGS, AR 72761-3304
(479) 524-8618
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2410003
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/11/2021
Last updated
10/09/2024
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