Jordan, Darrell
Jordan, Darrell is an sole proprietor health care provider with primary practice located at 1020 Cedar Crest Dr Apt C-9, Abilene TX 79601-3714. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jordan, Darrell can be contacted via phone (229) 395-0151.Contact Information
Primary practice address
1020 Cedar Crest Dr Apt C-9
Abilene TX 79601-3714
Phone: (229) 395-0151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1273-LCSW | Georgia |
Profile Details
| NPI number | 1063623130 |
|---|---|
| LBN Legal business name | Jordan, Darrell |
| Credentials | LCSW, DCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | Mar 16th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063623130 | NPPES |
| Georgia | MEDICAID | 000663506 |
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