Individual provider · Type 1 NPI
Jacqueline H. Jordan, LMHC, LPC
Professional Counselor · Covington, GA
NPI number
1003776675
Active
Practice location
30 Trelawney Dr
Covington, GA 30016-6890
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | MH0004111 (FL) |
| Professional Counselor Primary | 101YP2500X | LPC003917 (GA) |
Professional Counselor: Definition to come...
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About NPI 1003776675
Jacqueline H. Jordan, LMHC, LPC's National Provider Identifier is 1003776675, issued on Nov 14, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Covington, GA. The record was last updated on Nov 14, 2025.