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

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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.

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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.