Individual
LINDA CAROL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 W MAIN ST, HENRYETTA, OK 74437-4240
(918) 650-9292
(918) 650-9720
Mailing address
PO BOX 109, OKEMAH, OK 74859-0109
(918) 650-3051
(918) 650-9720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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