Jordan, Todd Micheal

Jordan, Todd Micheal is an individual health care provider with primary practice located at 2451 Fair St , Poplar Bluff MO 63901-7019. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Jordan, Todd Micheal can be contacted via phone (573) 429-4810.

Contact Information

Primary practice address
2451 Fair St Poplar Bluff MO 63901-7019
Phone: (573) 429-4810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 2014028525

Profile Details

NPI number 1316495302
LBN Legal business name Jordan, Todd Micheal
Credentials LBA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2016
Last updated Jul 21st, 2022 - about 4 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.

Request for update

Popular Providers