Individual provider · Type 1 NPI

Makenzie Jordan, LPC

Mental Health Counselor · Fort Worth, TX

NPI number 1053917658 Active

Practice location

6777 Camp Bowie Blvd Ste 229
Fort Worth, TX 76116-7157

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X79426 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1053917658

Makenzie Jordan, LPC's National Provider Identifier is 1053917658, issued on Dec 9, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 9, 2020.