Individual provider · Type 1 NPI
Tynette Jordan
Counselor · Lake City, FL
NPI number
1124439351
Active
Practice location
708 N.w Wilson St.
Lake City, FL 32055
Mailing address
708 NW Wilson St
Lake City, FL 32055-1808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1124439351
Tynette Jordan's National Provider Identifier is 1124439351, issued on May 9, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lake City, FL. The record was last updated on May 9, 2014.