Individual
JORDAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
357 KANSAS AVE SE, HURON, SD 57350-2517
(605) 352-8596
(605) 352-7001
Mailing address
420 S HENRY ST, PIERRE, SD 57501-4515
(605) 223-1510
(605) 494-1501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
05/10/2021
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