TERRY GLEN JORDAN

LAKE PROVIDENCE, LA
NPI1063008712
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  8116)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: LA  8116)
Enumeration Date2020-12-16
Last Update Date2023-07-05
Business Address
TERRY GLEN JORDAN MS, LPC
500 LAKE ST STE B
LAKE PROVIDENCE, LA 71254-2550
Phone number: 318-552-5016
Mailing Address
TERRY GLEN JORDAN MS, LPC
PO BOX 1307
OAK GROVE, LA 71263-1307
Phone number: 318-680-4683
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