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NPI Code Detail

MEDICARE: LAURA ANN JORDAN LPC

MEDICARE: LAURA ANN JORDAN LPC
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
1101YP2500XProfessional Counselor19957TX

General Provider Information

NPI Number : 1114241767
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ANN JORDAN LPC
Provider Business Mailing Address
First Line : PO BOX 38
Second Line :
City : DAYTON
State : TX
Zip : 77535-0001
Country : US
Telephone Number : 936-262-7800
Fax Number :
Provider Business Practice Location Address
First Line : 104 W CLAYTON ST
Second Line :
City : DAYTON
State : TX
Zip : 77535-2241
Country : US
Telephone Number : 936-262-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2010
Last Update Date : 10/17/2025

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Directions to “ LAURA ANN JORDAN LPC” Practice Location

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