Individual
ELIZABETH FAYE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 LOUIS PRIMA DR STE A, COVINGTON, LA 70433-5903
(985) 327-5427
Mailing address
60 LOUIS PRIMA DR STE A, COVINGTON, LA 70433-5903
(985) 327-5427
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/25/2015
Last updated
10/11/2018
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