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NPI Profile for JACKIE D JORDAN in OKLAHOMA CITY, OK.
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical |
| NPI Number | 1114263001 |
|
| Status | Active | |
| Credentials | MA, LADC | |
| Entity | Individual | |
| Enumeration date | 12/20/2012 | |
| Last updated | 12/20/2012 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JACKIE D JORDAN
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| JOHN WALLS 2012 NORTH VILLA AVENUE OKLAHOMA CITY, OK |
| DEMARIO C NASH, BHRS 12625 MEADOWS DRIVE OKLAHOMA CITY, OK |
| CHRISTINA A WHELAN 14616 FOSSIL CREEK LANE OKLAHOMA CITY, OK |
JACKIE D JORDAN, MA, LADC