Jordan A Kocon
Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).
NPI number1205321908
StatusActive
Last updated in NPPESSep 2, 2026
Details
- NPI
- 1205321908
- Entity type
- Individual (NPI-1)
- Name
- Jordan A Kocon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2018
- Certification date
- Sep 2, 2026
- Last updated
- Sep 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
376 Boylston St Ste 401Boston, MA 02116-3826
Phone 617-618-3026
Mailing address
1945 Amis AveLas Cruces, NM 88005-1649
Phone 763-772-2991
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