Jordan, Cynthia A

Jordan, Cynthia A is an sole proprietor health care provider with primary practice located at 1719 Merrill Dr , Little Rock AR 72212-4009. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jordan, Cynthia A can be contacted via phone (501) 663-2199.

Contact Information

Primary practice address
1719 Merrill Dr Little Rock AR 72212-4009
Phone: (501) 663-2199
Fax: (501) 663-2234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P0507050 Arkansas

Profile Details

NPI number 1275736159
LBN Legal business name Jordan, Cynthia A
Credentials MS, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2007
Last updated Mar 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275736159 NPPES
Arkansas MEDICAID 205087719

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