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General NPI Number Information
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NPI Number | 1033661426
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Entity Type | Individual
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Provider Name | JORDAN K DRISKELL M.S.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2016
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 225 N MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60601-7757
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Country | US
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Telephone | 312-766-6780
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Fax |
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Provider Business Mailing Address
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Address Line | 211 N BRAGG AVE
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City | LOOKOUT MOUNTAIN
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State | TN
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Zip | 37350-1203
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Country | US
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Telephone | 423-355-8786
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2444
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 108635
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License Number State | CA
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