MS. Jackie D Jordan, MA, LADC
NPI #1114263001 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1114263001
- Entity Type
- Individual
- Name
- MS. Jackie D Jordan, MA, LADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Addiction (Substance Use Disorder)
- Credential
- MA, LADC
- Enumeration Date
- Dec 20, 2012
- Last Updated
- Dec 20, 2012
Practice Location
- Address
- 3700 N CLASSEN BLVD
- Address 2
- SUITE C-55
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73118-2872
- Phone
- (405) 605-0881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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