Individual provider · Type 1 NPI
Jordan Jackson, LPC
Counselor · Grand Bay, AL
NPI number
1154211704
Active
Practice location
5153 Wear Rd Apt 1
Grand Bay, AL 36541-3223
Mailing address
5153 Wear Rd
Grand Bay, AL 36541-3223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 3309 (MS) |
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.
About NPI 1154211704
Jordan Jackson, LPC's National Provider Identifier is 1154211704, issued on Jul 7, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grand Bay, AL. The record was last updated on Jul 7, 2025.