Mclane, Jordan Leigh
Mclane, Jordan Leigh is an individual health care provider with primary practice located at 830 Ezzard Charles Dr , Cincinnati OH 45214-2525. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Prevention Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mclane, Jordan Leigh can be contacted via phone (513) 381-6672.Contact Information
Primary practice address
830 Ezzard Charles Dr
Cincinnati OH 45214-2525
Phone: (513) 381-6672
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.174913 | Ohio |
| Other Service Providers / Prevention Professional | 405300000X | OCPSA.162074 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCDCII.161763 | Ohio |
Profile Details
| NPI number | 1154959294 |
|---|---|
| LBN Legal business name | Mclane, Jordan Leigh |
| Credentials | LCDCII, OCDPSA, SWA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2020 |
| Last updated | May 22nd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154959294 | NPPES |
| Ohio | MEDICAID | 0399043 |
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