Individual provider · Type 1 NPI

Jordan Nielsen

Mental Health Counselor · Wilmette, IL

NPI number 1174419113 Active

Practice location

1215 Washington Ave
Wilmette, IL 60091-2574

Call (312) 213-8802 Map

Mailing address

2123 Mcdaniel Ave
Evanston, IL 60201-2126

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174419113

Jordan Nielsen's National Provider Identifier is 1174419113, issued on Jun 16, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilmette, IL. The record was last updated on Jun 16, 2025.