Individual provider · Type 1 NPI
Jordan Bridges
Professional Counselor · Lufkin, TX
NPI number
1013374149
Active
Practice location
2001 S Medford Dr
Lufkin, TX 75901-6260
Fax (936) 633-5695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 71651 (TX) |
Professional Counselor: Definition to come...
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About NPI 1013374149
Jordan Bridges's National Provider Identifier is 1013374149, issued on Jan 20, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lufkin, TX. The record was last updated on Jan 20, 2016.