Individual provider · Type 1 NPI
Jannetta Delois Jordan, PhD
Professional Counselor · Fayetteville, NC
NPI number
1578779336
Active
Practice location
2018 Hope Mills Rd
Fayetteville, NC 28304-4225
Mailing address
1302 Saltwell Pl
Fayetteville, NC 28314-6100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6537 (NC) |
Professional Counselor: Definition to come...
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About NPI 1578779336
Jannetta Delois Jordan, PhD's National Provider Identifier is 1578779336, issued on May 15, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 8, 2007.