Individual
MR. JORDAN MICHAEL COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
201 HOLIDAY BLVD STE 400, COVINGTON, LA 70433-5282
(504) 677-8474
(985) 273-3869
Mailing address
201 HOLIDAY BLVD STE 400, COVINGTON, LA 70433-5282
(504) 677-8474
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT-5453
LA
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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