Individual provider · Type 1 NPI

Ktoya Jordan

Mental Health Counselor · St. Petersburg, FL

NPI number 1487285060 Active

Practice location

3803 Haines Rd N
St. Petersburg, FL 33703-5625

Mailing address

3527 Beach Dr SE
St. Petersburg, FL 33705-4101

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487285060

Ktoya Jordan's National Provider Identifier is 1487285060, issued on Jan 31, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Dec 2, 2024.