FATIMA JORDAN LPC CRC LCASA NPI 1821407073

NPI Information

NPI: 1821407073
Provider Name: FATIMA JORDAN, LPC, CRC, LCASA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2309 W CONE BLVD STE 218
GREENSBORO, NC
ZIP 27408
Phone: (336) 410-4161
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Fatima Jordan, LPC, CRC, LCASA is a mental health counselor in Greensboro, NC. Fatima Jordan, LPC, CRC, LCASA NPI is 1821407073. 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:

2309 W CONE BLVD STE 218
GREENSBORO, NC
ZIP 27408-047
Phone: (336) 410-4161

The enumeration date for this NPI number is 8/12/2014 and was last updated on 1/24/2018.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	22225	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health	A10358	NORTH CAROLINA	Yes
3	225C00000X	Rehabilitation Counselor		00117659	NORTH CAROLINA	No

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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