Individual
JORDON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6500
Mailing address
707 BROADWAY BLVD NE STE 500, ALBUQUERQUE, NM 87102-2367
(505) 268-0701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
X-05852
NM
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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