Individual
MRS. JORDAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
501 N WALKER AVE STE 140, OKLAHOMA CITY, OK 73102-1233
(405) 841-4800
(405) 841-4803
Mailing address
501 N WALKER AVE STE 140, OKLAHOMA CITY, OK 73102-1233
(405) 841-4800
(405) 841-4803
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10230
OK
Other
Enumeration date
04/06/2018
Last updated
09/02/2021
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