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Phillip Landon Jordan
Counselor in North Wilkesboro, North Carolina
NPI 1790054708

Phillip Landon Jordan is a Counselor based in Concord, NC. Phillip Landon Jordan practices in North Wilkesboro, NC. The NPI Number for Phillip Landon Jordan is 1790054708 and holds a License No. 9051 (North Carolina).

The current practice location address for Phillip Landon Jordan is 1430 Willow Ln, North Wilkesboro, NC and can be reached out via phone at 704-939-1100 and via fax at 704-939-1173.

Location: 1430 Willow Ln, North Wilkesboro, NC, 28025-1894
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790054708
Provider Name
Phillip Landon Jordan
Credential
Provider Entity Type
Individual
Gender
Male
Address
1430 Willow Ln, North Wilkesboro, NC, 28025-1894
Phone Number
704-939-1100
Fax Number
704-939-1173
Provider Enumeration Date
12/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1430 Willow Ln
City
North Wilkesboro
State
North Carolina
Zip
28659-3551
Phone Number
704-939-1100
Fax Number
704-939-1173
person
Provider Business Mailing Address Details
Address
1430 Willow Ln
City
North Wilkesboro
State
North Carolina
Zip
28659-3551
Phone Number
704-939-1100
Fax Number
704-939-1173
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
A9051 (North Carolina)
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
Professional
Taxonomy
101YP2500X
License No.
9051 (North Carolina)
Definition
Definition to come...
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