Individual provider · Type 1 NPI

Jordan Ellinwood

Mental Health Counselor · Spokane, WA

NPI number 1437624111 Active

Practice location

107 S Division St
Spokane, WA 99202-1510

Other practice locations

  • 1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 · (509) 999-5657

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XCG61018064 (WA)
Counselor 101Y00000XCG61086898 (WA)
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XLH6L287441 (WA)

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About NPI 1437624111

Jordan Ellinwood's National Provider Identifier is 1437624111, issued on Oct 9, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Spokane, WA. The record was last updated on Apr 25, 2022.