Winell Jordan, MA
Counselor, Mental Health in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1013550722
StatusActive
Last updated in NPPESOct 28, 2019
Details
- NPI
- 1013550722
- Entity type
- Individual (NPI-1)
- Name
- Winell Jordan
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2019
- Last updated
- Oct 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2100 Goshen RdFort Wayne, IN 46808-1493
Phone 260-471-3500
Mailing address
2621 E Jefferson StWarsaw, IN 46580-3880
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