Individual provider · Type 1 NPI

Kelly Jordan

Mental Health Counselor · Wasilla, AK

NPI number 1659285096 Active

Practice location

800 E Railroad Ave Ste 210
Wasilla, AK 99654-8137

Call (907) 313-7965 Map

Fax (907) 531-3886

Mailing address

PO Box 870606
Wasilla, AK 99687-0606

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659285096

Kelly Jordan's National Provider Identifier is 1659285096, issued on Oct 1, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wasilla, AK. The record was last updated on Oct 1, 2026.