Doctor Name: | MRS. ANDREA JORDAN |
NPI Number: | 1023357126 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHCA |
License Number: | MC60220329 |
Business Practice Address: | 5514 Ne 107th Ave 201 Vancouver, WA - 986626346 |
Business Phone Number: | 3609040741 |
Business Fax Number: | |
Mailing Address: | 5514 Ne 107th Ave., Ste. 201 VANCOUVER |
State: | WA |
Postal Code: | 98662 |
Phone Number: | 3609040741 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2013 |
NPI Last Update Date: | 02/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MC60220329 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |