Individual provider · Type 1 NPI

Rachel Marie Jordan, MSW, QMHP

Mental Health Counselor · Vienna, IL

NPI number 1295938132 Active

Practice location

408 E Vine St
Vienna, IL 62995-1612

Fax (618) 658-2501

Mailing address

2400 W Blue Blaze Trl, Lot F9
Herrin, IL 62948-6419

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295938132

Rachel Marie Jordan, MSW, QMHP's National Provider Identifier is 1295938132, issued on Jun 7, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vienna, IL. The record was last updated on May 14, 2009.