Individual provider · Type 1 NPI

Maria Jordan

Mental Health Counselor · Jerseyville, IL

NPI number 1609279892 Active

Practice location

118 Krause Dr
Jerseyville, IL 62052-3610

Call (618) 498-1808 Map

Fax (618) 462-2504

Mailing address

2615 Edwards St
Alton, IL 62002-3915

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609279892

Maria Jordan's National Provider Identifier is 1609279892, issued on Oct 1, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jerseyville, IL. The record was last updated on Oct 2, 2014.