Individual
GINA LYNN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED,, LPC
Contact information
Practice address
2601 NW EXPRESSWAY STE 610E, OKLAHOMA CITY, OK 73112-7229
(405) 879-2228
Mailing address
2601 NW EXPRESSWAY STE 610E, OKLAHOMA CITY, OK 73112-7229
(405) 879-2228
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1590
OK
Other
Enumeration date
08/22/2006
Last updated
06/08/2021
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