Individual provider · Type 1 NPI

Jordan Christian Charles, CPC-INTERN

Mental Health Counselor · Las Vegas, NV

NPI number 1124975255 Active

Practice location

2620 Regatta Dr Ste 102
Las Vegas, NV 89128-6892

Mailing address

8020 Pasadera St
Las Vegas, NV 89131-4316

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCI5689 (NV)

Mental Health Counselor: Definition to come...

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About NPI 1124975255

Jordan Christian Charles, CPC-INTERN's National Provider Identifier is 1124975255, issued on Mar 16, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 16, 2026.