Individual
CAREN B JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
204 S. MAIN ST., LA FAYETTE, KY 42254-0014
(270) 271-8287
Mailing address
PO BOX 14, LA FAYETTE, KY 42254-0014
(270) 271-8287
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2945
NC
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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