Individual provider · Type 1 NPI

Geancarlo Israel Jordan, LMHC-D

Mental Health Counselor · New York, NY

NPI number 1508602087 Active

Practice location

125 Broad St Fl 18
New York, NY 10004-2427

Call (212) 385-3030 Map

Mailing address

1416 Wythe Pl Apt 1A
Bronx, NY 10452-6921

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X015560 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1508602087

Geancarlo Israel Jordan, LMHC-D's National Provider Identifier is 1508602087, issued on Jul 3, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Nov 2, 2026.