Individual provider · Type 1 NPI

Jordan Michael Blacktop, PhD

Mental Health Counselor · Coos Bay, OR

NPI number 1225759566 Active

Practice location

281 Laclair St
Coos Bay, OR 97420-2988

Call (541) 266-6700 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1225759566

Jordan Michael Blacktop, PhD's National Provider Identifier is 1225759566, issued on Sep 6, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coos Bay, OR. The record was last updated on Sep 6, 2022.