| Phillip Landon Jordan, | |
|
1430 Willow Ln, Westpark C61-2 N, North Wilkesboro, NC 28659-3551 | |
| (704) 939-1100 | |
| (704) 939-1173 |
| Full Name | Phillip Landon Jordan |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1430 Willow Ln, North Wilkesboro, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790054708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 9051 (North Carolina) | Primary |
| 101Y00000X | Counselor | A9051 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Landon Jordan, 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 Ph: (704) 939-1100 | Phillip Landon Jordan, 1430 Willow Ln, Westpark C61-2 N, North Wilkesboro, NC 28659-3551 Ph: (704) 939-1100 |
Shannon Price, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Willow Ln, North Wilkesboro, NC 28659 Phone: 336-667-5151 | |
Mr. Christopher Aaron Bumgarner, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Willow Ln, North Wilkesboro, NC 28659 Phone: 336-667-5151 Fax: 336-838-3133 | |
Chris Anthony, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Willow Ln, North Wilkesboro, NC 28659 Phone: 336-667-5151 | |
Esme Claire Bieberly, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 204 Jefferson St, North Wilkesboro, NC 28659 Phone: 336-838-1644 | |
Kimberly Sue Gilreath, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Northview Plz, North Wilkesboro, NC 28659 Phone: 336-818-0607 Fax: 336-838-0156 | |
Jessica Blackburn Call, MA Counselor Medicare: Medicare Enrolled Practice Location: 204 Jefferson St, Suite 106, North Wilkesboro, NC 28659 Phone: 336-838-1644 Fax: 336-667-7720 | |
Angie M Church, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 204 Jefferson St Ste 106, North Wilkesboro, NC 28659 Phone: 336-838-1644 Fax: 336-667-7720 |