JORDAN DARE WILSON LPC NPI 1194542944

NPI Information

  • NPI: 1194542944
  • Provider Name: JORDAN DARE WILSON, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 8767 SEMINOLE TRL STE 101
    RUCKERSVILLE, VA
    ZIP 22968
  • Phone: (434) 990-1744

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NPI Details

Jordan Dare Wilson, LPC is a professional counselor in Ruckersville, VA. Jordan Dare Wilson, LPC NPI is 1194542944. 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:

8767 SEMINOLE TRL STE 101
RUCKERSVILLE, VA
ZIP 22968-494
Phone: (434) 990-1744
Fax: (434) 939-9401

The enumeration date for this NPI number is 9/23/2024 and was last updated on 9/23/2024.

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
1101YM0800XCounselorMental Health0701014012VIRGINIANo
2101YP2500XCounselorProfessional0701014012VIRGINIAYes

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: 11/21/2025

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