Individual provider · Type 1 NPI

Tracy Lynn Jordan

Peer Specialist · Fresno, CA

NPI number 1104631167 Active

Practice location

2549 W Shaw Ave
Fresno, CA 93711-3308

Call (559) 264-7521 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1104631167

Tracy Lynn Jordan's National Provider Identifier is 1104631167, issued on Feb 7, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fresno, CA. The record was last updated on Feb 21, 2025.