Individual provider · Type 1 NPI

Lisa Marie Jordan

Mental Health Counselor · Thibodaux, LA

NPI number 1942702196 Active

Practice location

1418 Tiger Dr
Thibodaux, LA 70301-4337

Call (985) 449-4055 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800X7500 (LA)

Mental Health Counselor: Definition to come...

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About NPI 1942702196

Lisa Marie Jordan's National Provider Identifier is 1942702196, issued on Mar 4, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Thibodaux, LA. The record was last updated on Dec 13, 2022.