Jackie Jordan, MA, LADC

NPI 1114263001 · on the registry since 2012 · sole proprietor

Practice

Address: 3700 N Classen Blvd
Suite C-55
Oklahoma City, OK 73118
Phone: (405) 605-0881
Fax: (405) 605-0879
Organisation at this address: Clarissa Webb, Llc.
Private Psychiatric Care
Remedy Medical Supply Inc
Instilling Hope & Wellness Llc
Family Recvery Counseling Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 103TA0400X
103TA0400X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma