Active NPIIndividual provider

Ms. Mary E Jordan, LMFT, LADC, CEAP

Marriage & Family Therapist in Mystic, Connecticut

NPI Number1912212457
Practice location
14 Clara Dr Ste 3, Mystic, CT 06355-1973
Fax
860-536-4660
Last updated
August 9, 2010

Mary E Jordan is a Marriage & Family Therapist based in Mystic, CT. Mary E Jordan practices in Mystic, CT and has the professional credentials of LMFT, LADC, CEAP. The NPI Number for Mary E Jordan is 1912212457 and holds a License No. 000163 (CT). The current practice location address for Mary E Jordan is 14 Clara Dr Ste 3, Mystic, CT 06355-1973 and can be reached out via phone at 866-804-2273 and via fax at 860-536-4660.

Provider Profile Details

NPI Number
1912212457
Provider Name
Mary E Jordan
Credential
LMFT, LADC, CEAP
Provider Entity Type
Individual
Gender
Female
Address
14 Clara Dr Ste 3, Mystic, CT 06355-1973
Phone Number
866-804-2273
Fax Number
860-536-4660
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2010
Last Update Date
August 9, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Clara Dr Ste 3
Mystic, CT 06355-1973
City
Mystic
Zip
06355-1973
Phone Number
866-804-2273
Fax Number
860-536-4660
Mystic, CT 06355Get directions →

Provider Business Mailing Address Details

Address
14 Clara Dr Ste 3
Mystic, CT 06355-1973
City
Mystic
State
CT
Zip
06355-1973
Phone Number
866-804-2273
Fax Number
860-536-4660

License Information

License Number (1)
000163
License State (1)
CT
License Number (2)
000800
License State (2)
CT
Taxonomy (2)
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Mary E Jordan, LMFT, LADC, CEAP?

The NPI number of Ms. Mary E Jordan, LMFT, LADC, CEAP is 1912212457. It was assigned on August 9, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Mary E Jordan, LMFT, LADC, CEAP?

Ms. Mary E Jordan, LMFT, LADC, CEAP is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 000163.

Where does Ms. Mary E Jordan, LMFT, LADC, CEAP practice?

The practice location is 14 Clara Dr Ste 3, Mystic, CT 06355-1973. The office can be reached at 866-804-2273 (phone) or 860-536-4660 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912212457 directly on the NPPES registry website.

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