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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None 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.