Individual provider · Type 1 NPI

Jordan Phillips, MA, M.ED

Mental Health Counselor · Charleston, WV

NPI number 1497686240 Active

Practice location

713 Bigley Ave
Charleston, WV 25302-3356

Mailing address

1 Baptist Ln
Dingess, WV 25671-6496

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1497686240

Jordan Phillips, MA, M.ED's National Provider Identifier is 1497686240, issued on May 28, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charleston, WV. The record was last updated on May 28, 2026.