Individual provider · Type 1 NPI

Jordan Danielle Malm, LPC, PLPC

Mental Health Counselor · Belleville, IL

NPI number 1629548631 Active

Practice location

12 N 64th St
Belleville, IL 62223-3809

Mailing address

1003 Martin Luther King Dr
Bloomington, IL 61701-1429

Other practice locations

  • 16 Emerald Ter, Swansea, IL 62226-2321 · (618) 558-9035

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X2024035058 (MO)
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800X178.020747 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1629548631

Jordan Danielle Malm, LPC, PLPC's National Provider Identifier is 1629548631, issued on Dec 3, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Belleville, IL. The record was last updated on May 12, 2025.