Individual provider · Type 1 NPI

Jordan Cooley

Mental Health Counselor · Grants Pass, OR

NPI number 1245891282 Active

Practice location

1750 Nebraska Ave Bldg B
Grants Pass, OR 97527-5700

Fax (541) 476-2895

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Other practice locations

  • 1215 SW G St, Grants Pass, OR 97526-2544 · (541) 476-2373

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245891282

Jordan Cooley's National Provider Identifier is 1245891282, issued on Jun 20, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Sep 4, 2020.