Individual
EBONY BIONICA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2904 ARKANSAS BLVD, TEXARKANA, AR 71854-2536
(870) 773-4655
(870) 772-4650
Mailing address
2904 ARKANSAS BLVD, TEXARKANA, AR 71854-2536
(870) 773-4655
(870) 772-4650
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A1906081
AR
101YP2500X
Professional Counselor
Primary
P2206016
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/17/2013
Last updated
09/25/2025
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