JORDAN JACKSON NPI 1699127969

NPI Information

NPI: 1699127969
Provider Name: JORDAN JACKSON
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2110 IRON ST
BELLINGHAM, WA
ZIP 98225
Phone: (360) 930-6063
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Jordan Jackson is a mental health counselor in Bellingham, WA. Jordan Jackson NPI is 1699127969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2110 IRON ST
BELLINGHAM, WA
ZIP 98225-123
Phone: (360) 930-6063

The enumeration date for this NPI number is 7/11/2016 and was last updated on 6/29/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst		CG60676407	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health	MC61303990	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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