Organization · Type 2 NPI

Jordan Community Residential

Mental Health Counselor · Willoughby, OH

NPI number 1467098822 Active

Practice location

30841 Euclid Ave Ste 103
Willoughby, OH 44094-3100

Fax (216) 634-9611

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1467098822

Jordan Community Residential's National Provider Identifier is 1467098822, issued on Nov 20, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Willoughby, OH. The record was last updated on Apr 26, 2024.