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Jordan Northam
Peer Specialist in Ada, Oklahoma
NPI 1568119931

Jordan Northam is a Peer Specialist based in Ada, OK. Jordan Northam practices in Ada, OK. The NPI Number for Jordan Northam is 1568119931 and holds a License No. (Oklahoma).

The current practice location address for Jordan Northam is 301 W 4Th St, Ada, OK and can be reached out via phone at 580-257-2444. You can also correspond with Jordan Northam through the mailing address at 301 W 4TH ST, ADA, OK - 74820-3411 (mailing address contact number: 580-257-2444).

Location: 301 W 4Th St, Ada, OK, 74820-3411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568119931
Provider Name
Jordan Northam
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 W 4Th St, Ada, OK, 74820-3411
Phone Number
580-257-2444
Fax Number
Provider Enumeration Date
03/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 W 4Th St
City
Ada
State
Oklahoma
Zip
74820-3411
Phone Number
580-257-2444
Fax Number
person
Provider Business Mailing Address Details
Address
301 W 4Th St
City
Ada
State
Oklahoma
Zip
74820-3411
Phone Number
580-257-2444
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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