Individual ProviderDonna JordanCounselorBehavioral Health & Social Service ProvidersPractice Address6161 W Charleston Blvd, Las Vegas, NV 89146-1126(702) 486-8378(702) 646-3618PECOS EnrollmentBased on the most recent information from CMS, provider Donna Jordan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1942433743Provider TypeIndividualFull NameJordan, DonnaTitleMs.CredentialM. ED.GenderFemaleSole ProprietorYesEnumeration Date8/26/2009Last Updated8/26/2009Contact InformationPractice LocationPractice Address6161 W Charleston Blvd, Las Vegas, NV 89146-1126Phone(702) 486-8378Fax(702) 486-0417Mailing LocationMailing Address2322 Logsdon Dr, North Las Vegas, NV 89032-4830Phone(702) 646-3618Fax(702) 638-9242Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer