| Jordan M Edmondson | |
|
2120 Foxglove Ct Forney TX 75126-6360 | |
| (214) 763-8584 | |
| Not Available |
| Full Name | Jordan M Edmondson |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2120 Foxglove Ct, Forney, Texas |
| Authorized Official Name and Position | Jordan Degraftenreed (LPC) |
| Authorized Official Contact | 2147638584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan M Edmondson 2120 Foxglove Ct Forney TX 75126-6360 Ph: (214) 763-8584 | Jordan M Edmondson 2120 Foxglove Ct Forney TX 75126-6360 Ph: (214) 763-8584 |
| NPI Number | 1558825174 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558825174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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