| Doctor Name: | MS. KAREN DIANE JORDAN |
| NPI Number: | 1013211390 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED. |
| License Number: | 64906 |
| Business Practice Address: | 4245 Kemp Blvd Suite 710 Wichita Falls, TX - 763082824 |
| Business Phone Number: | 9406929745 |
| Business Fax Number: | 9406929722 |
| Mailing Address: | 3 Twelve Oaks Ct, WICHITA FALLS |
| State: | TX |
| Postal Code: | 763101467 |
| Phone Number: | 9406315666 |
| Fax Number: | 9406929722 |
| NPI Enumeration Date: | 12/31/2010 |
| NPI Last Update Date: | 01/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 64906 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |