Jordan, Chad

Jordan, Chad is an sole proprietor health care provider with primary practice located at 1100 Logger Ct G-103, Raleigh NC 27609-8525. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Jordan, Chad can be contacted via phone (800) 755-6309.

Contact Information

Primary practice address
1100 Logger Ct G-103 Raleigh NC 27609-8525
Phone: (800) 755-6309
Fax: (800) 755-6309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1092 North Carolina

Profile Details

NPI number 1568416733
LBN Legal business name Jordan, Chad
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Mar 31st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568416733 NPPES
North Carolina Other 374679 MHN
North Carolina Other 141AE MHN
North Carolina MEDICAID 6105064 MHN

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