KEVIN MICHAEL JORDAN

TYLER, TX
NPI1801595574
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TX  13944)
Enumeration Date2023-03-01
Last Update Date2023-03-01
Business Address
KEVIN MICHAEL JORDAN LCDC
1827 W GENTRY PKWY
TYLER, TX 75702-3929
Phone number: 903-630-7461
Mailing Address
KEVIN MICHAEL JORDAN LCDC
715 ESTES DR
LONGVIEW, TX 75602-6102
Phone number: 903-900-2134
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