Individual provider · Type 1 NPI
Diane Maxine Jordan, LPCA
Mental Health Counselor · Charlotte, NC
NPI number
1093267528
Active
Practice location
2704 Oakcrest Pl
Charlotte, NC 28209-1127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A12587 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1093267528
Diane Maxine Jordan, LPCA's National Provider Identifier is 1093267528, issued on Nov 1, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Nov 1, 2016.