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Individual

JORDAN TAYLOR BEARSHIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
PO BOX 729 1.25 MILES N ON HIGHWAY 281, ANADARKO, OK 73005
(405) 648-2714
Mailing address
PO BOX 729 1.25 MILES N ON HIGHWAY 281, ANADARKO, OK 73005
(405) 648-2714

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
OK
175T00000X
Peer Specialist
Primary
OK

Other

Enumeration date
04/06/2026
Last updated
04/20/2026
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