Individual provider · Type 1 NPI

Jordana Kelsey Coriz, CCSS

Community/Behavioral Health Agency · Santo Domingo Pueblo, NM

NPI number 1912889478 Active

Practice location

18 Eagle Ct, PO Box 90
Santo Domingo Pueblo, NM 87057

Call (505) 239-1718 Map

Mailing address

PO Box 130
Santo Domingo Pueblo, NM 87052-0130

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1912889478

Jordana Kelsey Coriz, CCSS's National Provider Identifier is 1912889478, issued on Jul 24, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Santo Domingo Pueblo, NM. The record was last updated on Nov 10, 2025.