Individual
JEFFERY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2215 NW CACHE RD, STE 107, LAWTON, OK 73505-5239
(580) 351-9998
Mailing address
6221 W GORE BLVD, LAWTON, OK 73505-5836
(580) 351-9998
(580) 351-9898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6819
OK
Other
Enumeration date
06/29/2016
Last updated
04/13/2022
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