EBONY BIONICA JORDAN NPI 1235565714

NPI Information

Ebony Bionica Jordan is a counselor in Prescott, AR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Ebony Bionica Jordan NPI is 1235565714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1658 US HIGHWAY 371
PRESCOTT, AR
ZIP 71857-064
Phone: (870) 887-3660
Fax: (870) 887-3705

The enumeration date for this NPI number is 9/17/2013 and was last updated on 7/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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