JORDAN VANDERBILT

Counselor

Active Individual
NPI: 1639691249

Practice Address

300 S RANCHWOOD BLVD STE 11
Yukon, OK 73099

Phone: (405) 229-1923

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1639691249 is the National Provider Identifier for JORDAN VANDERBILT, a Counselor provider located in Yukon, OK. This NPI was enumerated on July 14, 2017.
JORDAN VANDERBILT practices at 300 S RANCHWOOD BLVD STE 11, Yukon, OK 73099.

Quick Facts

NPI
1639691249
Type
Individual
Enumerated
Jul 14, 2017
Last Updated
Jul 14, 2017

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