Terry Glen Jordan, MS, LPC
NPI #1063008712 in Lake Providence, Louisiana
Provider Information
- NPI Number
- 1063008712
- Entity Type
- Individual
- Name
- Terry Glen Jordan, MS, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MS, LPC
- Enumeration Date
- Dec 16, 2020
- Last Updated
- Jul 5, 2023
Practice Location
- Address
- 500 LAKE ST STE B
- City
- Lake Providence
- State
- Louisiana
- ZIP Code
- 71254-2550
- Phone
- (318) 552-5016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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