Provider Demographics
NPI:1760121834
Name:JORDEN, SARAH SNOW (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:SNOW
Last Name:JORDEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:SNOW
Other - Last Name:JORDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:2106 PARKWAY PL
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-4753
Mailing Address - Country:US
Mailing Address - Phone:903-363-2195
Mailing Address - Fax:
Practice Address - Street 1:1101 E SOUTHEAST LOOP 323
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-9641
Practice Address - Country:US
Practice Address - Phone:903-363-2195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81868101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health