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NPI Code Detail

MEDICARE: AOKO JORDAN CSW

MEDICARE: AOKO JORDAN CSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLA
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1942754999
Entity Type Code : Individual
Provider Name (Legal Business Name) : AOKO JORDAN CSW
Provider Business Mailing Address
First Line : 506 HIGHWAY 2
Second Line :
City : STERLINGTON
State : LA
Zip : 71280-3004
Country : US
Telephone Number : 318-598-5040
Fax Number : 844-270-1958
Provider Business Practice Location Address
First Line : 506 HIGHWAY 2
Second Line :
City : STERLINGTON
State : LA
Zip : 71280-3004
Country : US
Telephone Number : 318-598-5040
Fax Number : 844-270-1958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2016
Last Update Date : 05/23/2019

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Directions to “ AOKO JORDAN CSW” Practice Location

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