Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN VANDERBILT
Active Sole ProprietorJORDAN VANDERBILT is a Counselor healthcare provider located in YUKON, Oklahoma. NPI 1639691249 is currently active in the NPPES registry. Verify at CMS.
Counselor · YUKON, OK
Registration Details
- NPI Number
- 1639691249
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2017 (9.0666212728646 yrs)
- Last Updated
- Jul 14, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 S RANCHWOOD BLVD STE 11YUKON, OK, 730992745Browse OK providers · Browse ZIP 73099
- Phone
- 4052291923
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in YUKON, OK
| Name | Credential | NPI |
|---|---|---|
| MS. MICHELLE G RAY | MS, LPC | 1427091370 |
| CAROLYN KAY HOWARD-BIRKENMAIER | LPC, LBP | 1114014834 |
| MS. CAROL LEE PAPIN | LPC-LADC-CCPC- | 1528194164 |
| TRACY NELSON | — | 1710134473 |
| MRS. TERESA MICHELE CROOM | — | 1861631087 |
| MRS. TIFFANY PALMER | MBS, LPC | 1902137391 |
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.