Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN TYLER DEWITT, MA, LMFT, LCAS
Active Sole ProprietorJORDAN TYLER DEWITT, MA, LMFT, LCAS is a Marriage & Family Therapist healthcare provider located in ELLERBE, North Carolina. NPI 1679064984 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · ELLERBE, NC
Registration Details
- NPI Number
- 1679064984
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2018 (8.244684559445 yrs)
- Last Updated
- Jan 6, 2022
- Licenses
-
LCAS-24343 (NC)12093A (NC)2160 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
651 JONES SPRINGS CHURCH RDELLERBE, NC, 283388413Browse NC providers · Browse ZIP 28338
- Phone
- 9103187416
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Marriage & Family Therapist
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.