JORDAN MICHAEL BLACKTOP

COOS BAY, OR
NPI1225759566
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2022-09-06
Last Update Date2022-09-06
Business Address
Dr. JORDAN MICHAEL BLACKTOP PhD
281 LACLAIR ST
COOS BAY, OR 97420-2988
Phone number: 541-266-6700
Mailing Address
Dr. JORDAN MICHAEL BLACKTOP PhD
281 LACLAIR ST
COOS BAY, OR 97420-2988
Phone number: 541-266-6700
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