person
Jason Terry Jordan, LPC
Mental Health Counselor in Greenville, Texas
NPI 1912918293

Jason Terry Jordan is a Mental Health Counselor based in Greenville, TX and is specialized in Mental Health. Jason Terry Jordan practices in Greenville, TX and has the professional credentials of LPC. The NPI Number for Jason Terry Jordan is 1912918293 and holds a License No. 13295 (Texas).

The current practice location address for Jason Terry Jordan is 2611 Lee St, Greenville, TX and can be reached out via phone at 903-454-6334 and via fax at 903-454-1153.

Location: 2611 Lee St, Greenville, TX, 75401-4247
person
Provider Profile Details
NPI Number
1912918293
Provider Name
Jason Terry Jordan
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2611 Lee St, Greenville, TX, 75401-4247
Phone Number
903-454-6334
Fax Number
903-454-1153
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
128064 01 TX VALUE OPTIONS
6565LC 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2611 Lee St
City
State
Zip
75401-4247
Phone Number
903-454-6334
Fax Number
903-454-1153
person
Provider Business Mailing Address Details
Address
2611 Lee St
City
State
Zip
75401-4247
Phone Number
903-454-6334
Fax Number
903-454-1153
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
13295 (Texas)
Definition
Definition to come...
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