Individual provider · Type 1 NPI

Diriki Jordan

Mental Health Counselor · Fresno, CA

NPI number 1891829917 Active

Practice location

7080 N Marks Ave Ste 104
Fresno, CA 93711-0288

Call (559) 446-3000 Map

Fax (559) 248-8555

Mailing address

4470 E Sierra Madre Ave Apt 205
Fresno, CA 93726-1152

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1891829917

Diriki Jordan's National Provider Identifier is 1891829917, issued on Mar 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fresno, CA. The record was last updated on Jul 8, 2007.