Individual provider · Type 1 NPI
Jordan Claude Etienne
Mental Health Counselor · New Bedford, MA
NPI number
1972076784
Active
Practice location
139 Mount Pleasant St
New Bedford, MA 02740-5612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1972076784
Jordan Claude Etienne's National Provider Identifier is 1972076784, issued on Jan 3, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Bedford, MA. The record was last updated on Jan 3, 2019.