TODD MICHEAL JORDAN

POPLAR BLUFF, MO
NPI1316495302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor Professional
(Licence:   2014028525)
Additional Taxonomies103K00000X Behavior Analyst
Enumeration Date2016-09-19
Last Update Date2022-07-21
Business Address
TODD MICHEAL JORDAN LBA, LPC
2451 FAIR ST
POPLAR BLUFF, MO 63901-7019
Phone number: 573-429-4810
Mailing Address
TODD MICHEAL JORDAN LBA, LPC
2451 FAIR ST
POPLAR BLUFF, MO 63901-7019
Phone number: 573-429-4810
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