Individual provider · Type 1 NPI

Jordaan Martin Houston

Mental Health Counselor · Atlanta, GA

NPI number 1043999212 Active

Practice location

1030 Fayetteville Rd SE
Atlanta, GA 30316-2921

Mailing address

59 Trigg Myers Way
Lilburn, GA 30047-4454

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1043999212

Jordaan Martin Houston's National Provider Identifier is 1043999212, issued on Jul 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Jul 14, 2023.