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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERRY GLEN JORDAN, MS, LPC

Active Sole Proprietor

TERRY GLEN JORDAN, MS, LPC is a Mental Health Counselor healthcare provider located in LAKE PROVIDENCE, Louisiana. NPI 1063008712 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · LAKE PROVIDENCE, LA

Registration Details

NPI Number
1063008712
Provider Type
Individual
Gender
Male
NPI Issued
Dec 16, 2020 (5.6193073592068 yrs)
Last Updated
Jul 5, 2023
Licenses
8116 (LA)
8116 (LA)
Sole Proprietor
Yes

Practice Information

Address
500 LAKE ST STE B
LAKE PROVIDENCE, LA, 712542550
Browse LA providers · Browse ZIP 71254
Phone
3185525016
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in LAKE PROVIDENCE, LA

Name Credential NPI
MS. LASHANDRA LOTT M.ED 1760852107
CATINA FREEMAN 1710333661
LARRIMI SHAE WILLIAMS 1023464625
LAKEISHA MONIQE CURLEY AS 1588010136
JAMES JACKSON 1417406380
ELISHA LUCAS 1578005906
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.