KETRINA LYNN JORDAN EDD NPI 1508530908

NPI Information

Ketrina Lynn Jordan, EDD is a counselor in Fort Payne, AL. The provider is 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. Ketrina Lynn Jordan, EDD NPI is 1508530908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

204 ALABAMA AVE SW
FORT PAYNE, AL
ZIP 35967-953
Phone: (256) 979-1777

The enumeration date for this NPI number is 8/9/2021 and was last updated on 8/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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