Cherelle Destiney Jordan
NPI #1396610671 in Amityville, New York
Provider Information
- NPI Number
- 1396610671
- Entity Type
- Individual
- Name
- Cherelle Destiney Jordan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 7, 2025
- Last Updated
- Oct 24, 2025
Practice Location
- Address
- 28 CEDAR RD
- City
- Amityville
- State
- New York
- ZIP Code
- 11701-1302
- Phone
- (631) 918-2425
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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