Individual provider · Type 1 NPI

Keyana Tanie Jordan

Mental Health Counselor · Jamestown, NC

NPI number 1902457682 Active

Practice location

4508 Crowne Lake Cir Apt 1D
Jamestown, NC 27282-7921

Call (252) 314-7403 Map

Other practice locations

  • 4508 Crowne Lake Cir Apt 1D, Jamestown, NC 27282-7921 · (252) 314-7403

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-25905 (NC)
Mental Health Counselor Primary 101YM0800XA15383 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1902457682

Keyana Tanie Jordan's National Provider Identifier is 1902457682, issued on Sep 24, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jamestown, NC. The record was last updated on Nov 23, 2019.