| John E Jordy Sole Member | |
|
12 Bellwether Way Suite 223 Bellingham WA 98225-2959 | |
| (360) 255-0772 | |
| (360) 255-0773 |
| Full Name | John E Jordy Sole Member |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12 Bellwether Way, Bellingham, Washington |
| Authorized Official Name and Position | John E Jordy (SOLE MEMBER) |
| Authorized Official Contact | 3602550772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John E Jordy Sole Member 12 Bellwether Way Suite 223 Bellingham WA 98225-2959 Ph: (360) 255-0772 | John E Jordy Sole Member 12 Bellwether Way Suite 223 Bellingham WA 98225-2959 Ph: (360) 255-0772 |
| NPI Number | 1861737959 |
|---|---|
| Provider Enumeration Date | 11/30/2012 |
| Last Update Date | 08/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861737959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH00005876 (Washington) | Primary |
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