Individual provider · Type 1 NPI

Dominique Jordan, BA

Mental Health Counselor · Lakewood, WA

NPI number 1487167789 Active

Practice location

9330 59th Ave SW
Lakewood, WA 98499-2858

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1487167789

Dominique Jordan, BA's National Provider Identifier is 1487167789, issued on Nov 8, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, WA. The record was last updated on Nov 8, 2017.