KEVIN MICHAEL JORDAN LCDC NPI 1801595574

NPI Information

NPI: 1801595574
Provider Name: KEVIN MICHAEL JORDAN, LCDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1827 W GENTRY PKWY
TYLER, TX
ZIP 75702
Phone: (903) 630-7461
Get Directions

Kevin Michael Jordan, LCDC is an addiction (substance use disorder) counselor in Tyler, TX. Kevin Michael Jordan, LCDC NPI is 1801595574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1827 W GENTRY PKWY
TYLER, TX
ZIP 75702-929
Phone: (903) 630-7461

The enumeration date for this NPI number is 3/1/2023 and was last updated on 3/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	13944	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »