Individual provider · Type 1 NPI

Jordan Johnson, LAC

Counselor · Gilbert, AZ

NPI number 1932902848 Active

Practice location

2879 E Tyson Ct
Gilbert, AZ 85295-3752

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLAC-23400 (AZ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1932902848

Jordan Johnson, LAC's National Provider Identifier is 1932902848, issued on Mar 28, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Gilbert, AZ. The record was last updated on Mar 28, 2025.