| Jordan Counseling And Associates | |
|
2295 W Market St Suite B Akron OH 44313-6944 | |
| (330) 835-9550 | |
| (330) 835-9552 |
| Full Name | Jordan Counseling And Associates |
|---|---|
| Speciality | Social Worker |
| Location | 2295 W Market St, Akron, Ohio |
| Authorized Official Name and Position | Kristine M Jordan (OWNER) |
| Authorized Official Contact | 2169069333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Counseling And Associates 2295 W Market St Suite B Akron OH 44313-6944 Ph: (330) 835-9550 | Jordan Counseling And Associates 2295 W Market St Suite B Akron OH 44313-6944 Ph: (330) 835-9550 |
| NPI Number | 1689934853 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 05/22/2012 |
| Medicare PECOS PAC ID | 3274780168 |
|---|---|
| Medicare Enrollment ID | O20120828000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689934853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E0002649 (Ohio) | Secondary |
| 104100000X | Social Worker | I9562 (Ohio) | Primary |
| Provider Name | Kristine Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609092006 PECOS PAC ID: 9830258961 Enrollment ID: I20081112000043 |
| Provider Name | Nicole Podgorski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891213294 PECOS PAC ID: 6709240260 Enrollment ID: I20230915003443 |
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