Individual provider · Type 1 NPI

Jordan Buckley, MA

Mental Health Counselor · Tarpon Springs, FL

NPI number 1336813773 Active

Practice location

1501 S Pinellas Ave Ste P
Tarpon Springs, FL 34689-1952

Mailing address

1004 N Florida Ave
Tarpon Springs, FL 34689-2113

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH21601 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1336813773

Jordan Buckley, MA's National Provider Identifier is 1336813773, issued on Aug 8, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tarpon Springs, FL. The record was last updated on Apr 24, 2026.