Individual
MRS. ANGELA RAE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 N 5TH ST, ONEILL, NE 68763-1565
(402) 336-4841
(402) 336-4640
Mailing address
118 N 5TH ST, ONEILL, NE 68763-1565
(402) 336-4841
(402) 336-4640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11406
NE
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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