Individual provider · Type 1 NPI

Jordan Marie Weatherly

Counselor · Las Cruces, NM

NPI number 1265275572 Active

Practice location

2435 S Telshor Blvd
Las Cruces, NM 88011-5029

Call (575) 323-1315 Map

Fax (833) 524-5203

Mailing address

PO Box 405
San Miguel, NM 88058-0405

Other practice locations

  • 545 S County Line Dr # B, Chaparral, NM 88081-7802 · (575) 322-1315

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCTB-2025-0423 (NM)

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.

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About NPI 1265275572

Jordan Marie Weatherly's National Provider Identifier is 1265275572, issued on Jun 14, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Las Cruces, NM. The record was last updated on Mar 19, 2026.