Jordan B Killpack, MC, LPC, CMHC

NPI #1194760363 in Syracuse, Utah

Provider Information

NPI Number: 1194760363
Entity Type: Individual
Name: Jordan B Killpack, MC, LPC, CMHC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MC, LPC, CMHC
Enumeration Date: Jun 19, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 2650 W 2700 S
City: Syracuse
State: Utah
ZIP Code: 84075-9013
Phone: (956) 639-6309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X

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