person
Terry Glen Jordan, MS,LPC
Mental Health Counselor in Lake Providence, Louisiana
NPI 1063008712

Terry Glen Jordan is a Mental Health Counselor based in Oak Grove, LA and is specialized in Mental Health. Terry Glen Jordan practices in Lake Providence, LA and has the professional credentials of MS,LPC. The NPI Number for Terry Glen Jordan is 1063008712 and holds a License No. 8116 (Louisiana).

The current practice location address for Terry Glen Jordan is 500 Lake St Ste B, Lake Providence, LA and can be reached out via phone at 318-552-5016. You can also correspond with Terry Glen Jordan through the mailing address at PO BOX 1307, OAK GROVE, LA - 71263-1307 (mailing address contact number: 318-680-4683).

Location: 500 Lake St Ste B, Lake Providence, LA, 71263-1307
person
Provider Profile Details
NPI Number
1063008712
Provider Name
Terry Glen Jordan
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
500 Lake St Ste B, Lake Providence, LA, 71263-1307
Phone Number
318-552-5016
Fax Number
Provider Enumeration Date
12/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 Lake St Ste B
City
State
Zip
71254-2550
Phone Number
318-552-5016
Fax Number
person
Provider Business Mailing Address Details
Address
500 Lake St Ste B
City
State
Zip
71254-2550
Phone Number
318-552-5016
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
8116 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
8116 (Louisiana)
Definition
Definition to come...
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