Individual provider · Type 1 NPI
Joseph Jordan, PhD
Mental Health Counselor · Wake Forest, NC
NPI number
1356582670
Active
Practice location
1325 Lagerfeld Way
Wake Forest, NC 27587-1643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 812 (NC) |
| Mental Health Counselor Primary | 101YM0800X | 3889 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1356582670
Joseph Jordan, PhD's National Provider Identifier is 1356582670, issued on Mar 17, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wake Forest, NC. The record was last updated on Mar 17, 2009.