Individual provider · Type 1 NPI

Devion Bryce Jordan

Mental Health Counselor · Centralia, WA

NPI number 1104407345 Active

Practice location

3510 Steelhammer Lane
Centralia, WA 98531

Call (360) 623-8020 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104407345

Devion Bryce Jordan's National Provider Identifier is 1104407345, issued on Apr 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, WA. The record was last updated on Apr 19, 2021.