Individual
JORDAN ANTHONY MCKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3112 W PINHOOK RD STE B, LAFAYETTE, LA 70508-3443
(337) 703-2806
Mailing address
116 WELLS ST, LAFAYETTE, LA 70506-6076
(504) 717-0709
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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