Jordan Counseling Services, Llc | |
1000 Highland Colony Pkwy Ste 5203 Ridgeland MS 39157-2079 | |
(601) 566-5899 | |
Not Available |
Full Name | Jordan Counseling Services, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1000 Highland Colony Pkwy Ste 5203, Ridgeland, Mississippi |
Authorized Official Name and Position | David R Jordan (LICENSED CERTIFIED SOCIAL WORKER) |
Authorized Official Contact | 6015665899 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jordan Counseling Services, Llc 114 Camden Ln Madison MS 39110-4016 Ph: (601) 566-5899 | Jordan Counseling Services, Llc 1000 Highland Colony Pkwy Ste 5203 Ridgeland MS 39157-2079 Ph: (601) 566-5899 |
NPI Number | 1740810712 |
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Provider Enumeration Date | 01/18/2020 |
Last Update Date | 01/18/2020 |
Certification Date | 01/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740810712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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