GRACE DIANE JORDAN NPI 1568080463

NPI Information

NPI: 1568080463
Provider Name: GRACE DIANE JORDAN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3510 STEELHAMMER LANE
CENTRALIA, WA
ZIP 98531
Phone: (360) 561-0311
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Grace Diane Jordan is a mental health counselor in Centralia, WA. Grace Diane Jordan NPI is 1568080463. 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:

3510 STEELHAMMER LANE
CENTRALIA, WA
ZIP 98531-551
Phone: (360) 561-0311

The enumeration date for this NPI number is 7/8/2020 and was last updated on 7/8/2020.

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			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: 5/5/2024

NPI Synchronization or Removal

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