Individual provider · Type 1 NPI

Jordan Knab, LCPC-CC

Mental Health Counselor · Portland, ME

NPI number 1407681836 Active

Practice location

901 Washington Ave Ste 100
Portland, ME 04103-2842

Fax (207) 871-1232

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XXL7499 (ME)

Mental Health Counselor: Definition to come...

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About NPI 1407681836

Jordan Knab, LCPC-CC's National Provider Identifier is 1407681836, issued on Sep 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, ME. The record was last updated on Sep 5, 2024.