Individual
CASSANDRA LEA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
701 S ROYAL ST, DERIDDER, LA 70634-4949
(337) 463-4900
Mailing address
701 S ROYAL ST, DERIDDER, LA 70634-4949
(337) 463-4900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6282
LA
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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