Provider Demographics
NPI:1528137106
Name:JORDAN, RHONDA (LCSW)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:
Last Name:JORDAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 E FLAMINGO RD
Mailing Address - Street 2:#230
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5069
Mailing Address - Country:US
Mailing Address - Phone:702-733-7200
Mailing Address - Fax:702-733-6716
Practice Address - Street 1:3530 E FLAMINGO RD
Practice Address - Street 2:#230
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5069
Practice Address - Country:US
Practice Address - Phone:702-733-7200
Practice Address - Fax:702-733-6716
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01789-C101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health