JORDAN CHRISTIAN BUNDY NPI 1588426316

NPI Information

  • NPI: 1588426316
  • Provider Name: JORDAN CHRISTIAN BUNDY
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 6443 N TAHAN AVE
    FRESNO, CA
    ZIP 93711
  • Phone: (559) 218-2230

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NPI Details

Jordan Christian Bundy is an addiction (substance use disorder) counselor in Fresno, CA. Jordan Christian Bundy NPI is 1588426316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6443 N TAHAN AVE
FRESNO, CA
ZIP 93711-129
Phone: (559) 218-2230

The enumeration date for this NPI number is 1/26/2024 and was last updated on 1/26/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)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: 11/21/2025

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