Individual provider · Type 1 NPI
Jordan Champa
Mental Health Counselor · Lake Mary, FL
NPI number
1689523938
Active
Practice location
115 Timberlachen Cir Ste 1013
Lake Mary, FL 32746-3303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | IMH27817 (FL) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1689523938
Jordan Champa's National Provider Identifier is 1689523938, issued on Jan 28, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Mary, FL. The record was last updated on Jan 28, 2026.