MR. Ronald Edward Jordan III, B.A.-B.H.R.S.

NPI #1700189651 in Shawnee, Oklahoma

Provider Information

NPI Number: 1700189651
Entity Type: Individual
Name: MR. Ronald Edward Jordan III, B.A.-B.H.R.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: B.A.-B.H.R.S.
Enumeration Date: Dec 15, 2010
Last Updated: Dec 15, 2010

Practice Location

Address: 647 N KICKAPOO AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74580
Phone: (918) 470-3483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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