Individual
SUSAN ELIZABETH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2500 S BROADWAY, SUITE 300, EDMOND, OK 73013-4038
(405) 314-8463
Mailing address
2500 S BROADWAY, SUITE 300, EDMOND, OK 73013-4038
(405) 314-8463
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3865
OK
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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