Individual provider · Type 1 NPI
Jaquita Gwynn Jordan, M.A., L.P.C.
Mental Health Counselor · Leesville, LA
NPI number
1649311549
Active
Practice location
300 S 4th St
Leesville, LA 71446-4318
Mailing address
PO Box 431
New Llano, LA 71461-0431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 3044 (LA) |
Mental Health Counselor: Definition to come...
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About NPI 1649311549
Jaquita Gwynn Jordan, M.A., L.P.C.'s National Provider Identifier is 1649311549, issued on Feb 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Leesville, LA. The record was last updated on Aug 4, 2011.