DIANE EVELYN JORDAN LCPC NCC LAC NPI 1538584115

NPI Information

NPI: 1538584115
Provider Name: DIANE EVELYN JORDAN, LCPC, NCC, LAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3255 LT MOSS RD
MISSOULA, MT
ZIP 59804
Phone: (406) 532-9800
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Diane Evelyn Jordan, LCPC, NCC, LAC is a mental health counselor in Missoula, MT. Diane Evelyn Jordan, LCPC, NCC, LAC NPI is 1538584115. 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:

3255 LT MOSS RD
MISSOULA, MT
ZIP 59804-220
Phone: (406) 532-9800

The enumeration date for this NPI number is 2/19/2014 and was last updated on 11/1/2016.

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)	3323	MONTANA	No
2	101YM0800X	Counselor	Mental Health	7932	MONTANA	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: 11/14/2023

NPI Synchronization or Removal

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