Individual provider · Type 1 NPI

Jordan Joseph Granata

Mental Health Counselor · Bend, OR

NPI number 1366989030 Active

Practice location

63311 Jamison St
Bend, OR 97703-8288

Call (541) 322-7500 Map

Fax (541) 322-7565

Mailing address

2577 NE Courtney Dr
Bend, OR 97701-7752

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1366989030

Jordan Joseph Granata's National Provider Identifier is 1366989030, issued on Jan 19, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Nov 27, 2024.