Individual provider · Type 1 NPI

Grace Diane Jordan

Mental Health Counselor · Centralia, WA

NPI number 1568080463 Active

Practice location

3510 Steelhammer Lane
Centralia, WA 98531-4551

Call (360) 561-0311 Map

Mailing address

3510 Steelhammer Dr
Centralia, WA 98531-4551

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1568080463

Grace Diane Jordan's National Provider Identifier is 1568080463, issued on Jul 8, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, WA. The record was last updated on Jul 8, 2020.