NPI 1013229327 MRS. HOLLY MICHELLE JORDAN MSW, LICSW, AADC SCOTT DEPOT WV. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Holly Michelle Jordan - NPI: 1013229327

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. HOLLY MICHELLE JORDAN
NPI Number: 1013229327
Entity Type Code: Individual (1)
Gender: F
Credentials: MSW, LICSW, AADC
License Number: 1648
Business Practice Address: 301 Great Teays Blvd Ste 6
Scott Depot, WV - 255609552
Business Phone Number: 3047576999
Business Fax Number: 3047573252
Mailing Address: 301 Great Teays Blvd Ste 6,
SCOTT DEPOT
State: WV
Postal Code: 255609552
Phone Number: 3047576999
Fax Number: 3047573252
NPI Enumeration Date: 07/02/2010
NPI Last Update Date: 03/17/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number: 1648
Healthcare Provider Taxonomy:
(Secondary)
Y
State: NC
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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