Jordan Mceuen, TCADC

NPI 1447860572 · on the registry since 2020 · sole proprietor

Practice

Address: 645 S Roy Wilkins Ave Ste 100
Louisville, KY 40203
Phone: (502) 583-4092
Fax: (502) 371-6110
Organisation at this address: Cleanse Clinic, Pllc
Louisville Vascular Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-08-04

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 Kentucky