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Contact Information

KATOYA JORDAN, LCSWA, LCASA
9486 NC-305
JACKSON, NC27845
 Phone: 252-534-1088
 Fax: 252-534-1288
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KATOYA JORDAN · (Female)

NPI Number 1346831435
Status Active
Credentials LCSWA, LCASA
Entity Individual
Enumeration date 02/01/2021
Last updated 02/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # LCAS-26600
  • NC License # P014924
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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