Individual
CHAD JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1100 LOGGER CT, G-103, RALEIGH, NC 27609-8525
(800) 755-6309
(800) 755-6309
Mailing address
PO BOX 99281, RALEIGH, NC 27624-9281
(800) 755-6309
(800) 755-6309
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141AE
BCBS
NC
01
—
374679
MHN
NC
05
—
6105064
—
NC
Enumeration date
05/20/2006
Last updated
03/31/2011
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