Individual provider · Type 1 NPI

Jordan Marshall, BS

Mental Health Counselor · Pontiac, IL

NPI number 1962980359 Active

Practice location

310 E Torrance Ave
Pontiac, IL 61764-2748

Call (815) 844-6109 Map

Mailing address

PO Box 768
Pontiac, IL 61764-0768

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962980359

Jordan Marshall, BS's National Provider Identifier is 1962980359, issued on Jul 30, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pontiac, IL. The record was last updated on Sep 25, 2020.