Individual provider · Type 1 NPI

Jordan Madison, LAC

Mental Health Counselor · Paramus, NJ

NPI number 1417834615 Active

Practice location

140 E Ridgewood Ave Ste 415
Paramus, NJ 07652-3915

Mailing address

5 Pitcairn Ave
Ho Ho Kus, NJ 07423-1622

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00902800 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1417834615

Jordan Madison, LAC's National Provider Identifier is 1417834615, issued on Aug 19, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Paramus, NJ. The record was last updated on Aug 19, 2025.