Individual
BETHANY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMFT, PLPC
Contact information
Practice address
1812 GLENMAR AVE STE C, MONROE, LA 71201-4974
(318) 654-7010
Mailing address
1812 GLENMAR AVE STE C, MONROE, LA 71201-4974
(318) 654-7010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC8210
LA
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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