Individual provider · Type 1 NPI
Michael Jack Jordan, DBSA FACILITATOR
Mental Health Counselor · Norman, OK
NPI number
1134469448
Active
Practice location
1418 Lindale Ave
Norman, OK 73069-4423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1134469448
Michael Jack Jordan, DBSA FACILITATOR's National Provider Identifier is 1134469448, issued on Feb 22, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Norman, OK. The record was last updated on Feb 22, 2013.