Luck, Jordan
Luck, Jordan is an individual health care provider with primary practice located at 372 Mclaws Cir Ste 1&2 , Williamsburg VA 23185-5636. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Luck, Jordan can be contacted via phone (540) 207-1108.Contact Information
Primary practice address
372 Mclaws Cir Ste 1&2
Williamsburg VA 23185-5636
Phone: (540) 207-1108
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0710103043 | Virginia |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701006350 | Virginia |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0717001413 | Virginia |
Profile Details
NPI number | 1245601863 |
---|---|
LBN Legal business name | Luck, Jordan |
Credentials | LPC, NCC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 8th, 2015 |
Last updated | Nov 22nd, 2016 - about 8 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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