Individual
JORDAN MCEUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TCADC
Contact information
Practice address
645 S ROY WILKINS AVE STE 100, LOUISVILLE, KY 40203-2072
(502) 583-4092
(502) 371-6110
Mailing address
720 W BROADWAY STE 202, LOUISVILLE, KY 40202-3245
(502) 561-0943
(502) 561-0944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
263002
KY
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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