Individual provider · Type 1 NPI

Kelly Jordan

Mental Health Counselor · Pittsburg, CA

NPI number 1124576426 Active

Practice location

51 Marina Blvd
Pittsburg, CA 94565-2068

Mailing address

1266 14th St
Oakland, CA 94607-2205

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124576426

Kelly Jordan's National Provider Identifier is 1124576426, issued on Sep 14, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pittsburg, CA. The record was last updated on Sep 14, 2016.