Individual
JORDAN SQUYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT-C
Contact information
Practice address
12617 S MCLOUD RD, MCLOUD, OK 74851-8509
(405) 446-1470
Mailing address
12617 S MCLOUD RD, MCLOUD, OK 74851-8509
(405) 446-1470
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
13272
OK
106S00000X
Behavior Technician
Primary
RBT-21-166698
OK
Other
Enumeration date
05/21/2021
Last updated
04/30/2026
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