Individual provider · Type 1 NPI
Jordyn Cole Stovall
Mental Health Counselor · Portland, OR
NPI number
1396640744
Active
Practice location
17148 SE Kelly St
Portland, OR 97236-1249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1396640744
Jordyn Cole Stovall's National Provider Identifier is 1396640744, issued on Oct 13, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 13, 2026.