Individual
MISTY MICHELE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N CHOCTAW AVE, SUITE 140, EL RENO, OK 73036-2624
(405) 262-3209
Mailing address
141 SEQUOIA PARK DR, YUKON, OK 73099-5819
(405) 354-5645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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