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Individual

MRS. CYNTHIA A JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
1719 MERRILL DR, LITTLE ROCK, AR 72212-4009
(501) 663-2199
(501) 663-2234
Mailing address
814 W CENTER ST, SHERIDAN, AR 72150-8402
(870) 484-3938
(870) 942-3960

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0507050
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205087719
AR
Enumeration date
06/07/2007
Last updated
03/11/2020
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