Jordan Vanderbilt

NPI #1639691249 in Yukon, Oklahoma

Provider Information

NPI Number
1639691249
Entity Type
Individual
Name
Jordan Vanderbilt
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Jul 14, 2017
Last Updated
Jul 14, 2017

Practice Location

Address
300 S RANCHWOOD BLVD STE 11
City
Yukon
ZIP Code
73099-2745
Phone
(405) 229-1923

Specialties & Taxonomy Codes

Specialty
Counselor

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