Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN B KILLPACK, MC, LPC, CMHC
ActiveJORDAN B KILLPACK, MC, LPC, CMHC is a Mental Health Counselor healthcare provider located in SYRACUSE, Utah. NPI 1194760363 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · SYRACUSE, UT
Registration Details
- NPI Number
- 1194760363
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2006 (20.114992025083 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
5422738-6004 (UT)20280 (TX)5422738-6004 (UT)20280 (TX)5422738-6004 (UT)
Practice Information
- Address
-
2650 W 2700 SSYRACUSE, UT, 840759013Browse UT providers · Browse ZIP 84075
- Phone
- 9566396309
- Fax
- 9566396309
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in SYRACUSE, UT
| Name | Credential | NPI |
|---|---|---|
| RACHELLE STEED | LCSW | 1679108260 |
| PRESTON QUINN CALCUT | CMHC | 1104436120 |
| CHAYA TENNIS ANDERSON | CMHC | 1083324727 |
| ELOISE RIBEIRO | — | 1700565975 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.