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Jordan B Killpack, MC,LPC,CMHC
Mental Health Counselor in Syracuse, Utah
NPI 1194760363

Jordan B Killpack is a Mental Health Counselor based in Syracuse, UT and is specialized in Mental Health. Jordan B Killpack practices in Syracuse, UT and has the professional credentials of MC,LPC,CMHC. The NPI Number for Jordan B Killpack is 1194760363 and holds a License No. 5422738-6004 (Utah).

The current practice location address for Jordan B Killpack is 2650 W 2700 S, Syracuse, UT and can be reached out via phone at 956-639-6309 and via fax at 956-639-6309.

Location: 2650 W 2700 S, Syracuse, UT, 84075-9013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194760363
Provider Name
Jordan B Killpack
Credential
MC,LPC,CMHC
Provider Entity Type
Individual
Gender
Male
Address
2650 W 2700 S, Syracuse, UT, 84075-9013
Phone Number
956-639-6309
Fax Number
956-639-6309
Provider Enumeration Date
06/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7489LC 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
2650 W 2700 S
City
Syracuse
State
Utah
Zip
84075-9013
Phone Number
956-639-6309
Fax Number
956-639-6309
person
Provider Business Mailing Address Details
Address
2650 W 2700 S
City
Syracuse
State
Utah
Zip
84075-9013
Phone Number
956-639-6309
Fax Number
956-639-6309
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
20280 (Texas)
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's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
5422738-6004 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
20280 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
5422738-6004 (Utah)
Definition
Definition to come...
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