Individual provider · Type 1 NPI

Todd Micheal Jordan, LBA, LPC

Professional Counselor · Poplar Bluff, MO

NPI number 1316495302 Active

Practice location

2451 Fair St
Poplar Bluff, MO 63901-7019

Call (573) 429-4810 Map

Other practice locations

  • 101 S Main St, Poplar Bluff, MO 63901-5843 · (573) 686-5090

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Professional Counselor Primary 101YP2500X2014028525

Professional Counselor: Definition to come...

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About NPI 1316495302

Todd Micheal Jordan, LBA, LPC's National Provider Identifier is 1316495302, issued on Sep 19, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Poplar Bluff, MO. The record was last updated on Jul 21, 2022.