Individual provider · Type 1 NPI
Jordan Vanderbilt
Counselor · Yukon, OK
NPI number
1639691249
Active
Practice location
300 S Ranchwood Blvd Ste 11
Yukon, OK 73099-2745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3 other providers at this address
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- Kristy Ann Russell, B.S.Counselor Yukon, OK NPI 1114243946
- Yvonne MullinCounselor Yukon, OK NPI 1194000513
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About NPI 1639691249
Jordan Vanderbilt's National Provider Identifier is 1639691249, issued on Jul 14, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Yukon, OK. The record was last updated on Jul 14, 2017.