Individual
MRS. JORDAN FOUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 676-5114
Mailing address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 676-5114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10516
OK
101YP2500X
Professional Counselor
10516
OK
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
08/25/2016
Last updated
12/20/2024
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