JEFFERSON JORDAN

BATON ROUGE, LA
NPI1588036024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-10-23
Last Update Date2015-10-23
Business Address
-- JEFFERSON JORDAN
8325 KELWOOD AVE
BATON ROUGE, LA 70806-4804
Phone number: 225-239-5498
Mailing Address
-- JEFFERSON JORDAN
8325 KELWOOD AVE
BATON ROUGE, LA 70806-4804
Phone number: 225-239-5498
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