Doctor Name: | STEPHANIE JORDAN |
NPI Number: | 1730590449 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPCA |
License Number: | KY-1482 |
Business Practice Address: | 861 Corporate Dr Ste 101 Lexington, KY - 405035432 |
Business Phone Number: | 8599712585 |
Business Fax Number: | 8599717594 |
Mailing Address: | 861 Corporate Dr Ste 101, LEXINGTON |
State: | KY |
Postal Code: | 405035432 |
Phone Number: | 8599712585 |
Fax Number: | 8599717594 |
NPI Enumeration Date: | 05/15/2014 |
NPI Last Update Date: | 03/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | KY-1482 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |