Marissa Jordan, LPC
NPI #1215396916 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1215396916
- Entity Type
- Individual
- Name
- Marissa Jordan, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Feb 23, 2016
- Last Updated
- Jan 7, 2020
Practice Location
- Address
- 268 CHRISTIAN CHURCH RD STE 2
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37615-4484
- Phone
- (423) 491-4202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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