KELLIE MARIE JORDAN NPI 1306434493

NPI Information

  • NPI: 1306434493
  • Provider Name: KELLIE MARIE JORDAN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2806 WOODHOLLOW LN
    JONESBORO, GA
    ZIP 30236
  • Phone: (404) 667-7982

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NPI Details

Kellie Marie Jordan is a mental health counselor in Jonesboro, GA. Kellie Marie Jordan NPI is 1306434493. 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:

2806 WOODHOLLOW LN
JONESBORO, GA
ZIP 30236-829
Phone: (404) 667-7982

The enumeration date for this NPI number is 1/5/2021 and was last updated on 6/9/2021.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

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

NPI Synchronization or Removal

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