DEBBIE JORDAN LCPC NPI 1073660544

NPI Information

NPI: 1073660544
Provider Name: DEBBIE JORDAN, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1910 N LAKES PL
MERIDIAN, ID
ZIP 83646
Phone: (208) 342-2273
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Debbie Jordan, LCPC is a mental health counselor in Meridian, ID. Debbie Jordan, LCPC NPI is 1073660544. 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:

1910 N LAKES PL
MERIDIAN, ID
ZIP 83646
Phone: (208) 342-2273
Fax: (208) 323-9070

The enumeration date for this NPI number is 1/5/2007 and was last updated on 7/8/2007.

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	101YM0800X	Counselor	Mental Health	LCPC390	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q4897	OTHER	IDAHO	BLUE CROSS OF ID
2	000010032560	OTHER	IDAHO	REGENCE BLUE SHIELD OF ID

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: 11/14/2023

NPI Synchronization or Removal

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