person
Derek R. Jordan
Professional Counselor in Milford, Ohio
NPI 1669911285

Derek R. Jordan is a Professional Counselor based in Cincinnati, OH and is specialized in Professional. Derek R. Jordan practices in Milford, OH. The NPI Number for Derek R. Jordan is 1669911285 and holds a License No. LCDCIII.121091 (Ohio).

The current practice location address for Derek R. Jordan is 25 Whitney Dr Ste 122, Milford, OH and can be reached out via phone at 513-941-4999 and via fax at 513-694-0168.

Location: 25 Whitney Dr Ste 122, Milford, OH, 45247-7958
person
Provider Profile Details
NPI Number
1669911285
Provider Name
Derek R. Jordan
Credential
Provider Entity Type
Individual
Gender
Male
Address
25 Whitney Dr Ste 122, Milford, OH, 45247-7958
Phone Number
513-941-4999
Fax Number
513-694-0168
Provider Enumeration Date
02/15/2017
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0218756 05 OH
institution
Provider Business Practice Location Address Details
Address
25 Whitney Dr Ste 122
City
State
Zip
45150-8400
Phone Number
513-941-4999
Fax Number
513-694-0168
person
Provider Business Mailing Address Details
Address
25 Whitney Dr Ste 122
City
State
Zip
45150-8400
Phone Number
513-941-4999
Fax Number
513-694-0168
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCDCII.121091 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCDCIII.121091 (Ohio)
Definition
Definition to come...
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