Individual provider · Type 1 NPI
Stefanya Camille Jordan, LPC, LCDC
Mental Health Counselor · Dallas, TX
NPI number
1245821230
Active
Practice location
17330 Preston Rd Ste 240B
Dallas, TX 75252-6075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15260 (TX) |
| Mental Health Counselor Primary | 101YM0800X | 83934 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1245821230
Stefanya Camille Jordan, LPC, LCDC's National Provider Identifier is 1245821230, issued on Feb 1, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Oct 8, 2024.