Mclane, Jordan Leigh

Mclane, Jordan Leigh is an individual health care provider with primary practice located at 830 Ezzard Charles Dr , Cincinnati OH 45214-2525. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Prevention Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mclane, Jordan Leigh can be contacted via phone (513) 381-6672.

Contact Information

Primary practice address
830 Ezzard Charles Dr Cincinnati OH 45214-2525
Phone: (513) 381-6672
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.174913 Ohio
Other Service Providers / Prevention Professional 405300000X OCPSA.162074 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCII.161763 Ohio

Profile Details

NPI number 1154959294
LBN Legal business name Mclane, Jordan Leigh
Credentials LCDCII, OCDPSA, SWA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2020
Last updated May 22nd, 2024 - about 6 months 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 1154959294 NPPES
Ohio MEDICAID 0399043

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