Individual provider · Type 1 NPI
Courtney Jordan
Professional Counselor · Dallas, TX
NPI number
1396110763
Active
Practice location
4305 Macarthur Ave
Dallas, TX 75209-6511
Fax (214) 520-6468
Mailing address
4305 Macarthur Ave # 821277
Dallas, TX 75209-6511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 71765 (TX) |
Professional Counselor: Definition to come...
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About NPI 1396110763
Courtney Jordan's National Provider Identifier is 1396110763, issued on Dec 9, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Jun 8, 2026.