Individual provider · Type 1 NPI

Renee S. Jordan, MASTERS IN EDUCATION

Addiction (Substance Use Disorder) Counselor · Lake Charles, LA

NPI number 1194295634 Active

Practice location

2110 Oak Park Blvd
Lake Charles, LA 70601-7864

Call (337) 475-0324 Map

Fax (337) 475-8917

Mailing address

5415 Mattie Reeves Rd
Lake Charles, LA 70611-5719

Specialties and licenses

TaxonomyCodeLicense
Medical Art Specialist/Technologist 246ZA2600XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1194295634

Renee S. Jordan, MASTERS IN EDUCATION's National Provider Identifier is 1194295634, issued on Nov 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake Charles, LA. The record was last updated on Aug 22, 2024.