Individual provider · Type 1 NPI
Jordan Lethommius Perry
Professional Counselor · Ruston, LA
NPI number
1235863556
Active
Practice location
318 W Louisiana Ave Lot 8
Ruston, LA 71270-9304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Professional Counselor Primary | 101YP2500X | PLC8804 (LA) |
Professional Counselor: Definition to come...
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About NPI 1235863556
Jordan Lethommius Perry's National Provider Identifier is 1235863556, issued on Jul 12, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ruston, LA. The record was last updated on Sep 13, 2023.