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NPI Code Detail

MEDICARE: JORDYN KANDYCE JONES CARE COORD/MH

MEDICARE:   JORDYN KANDYCE JONES  CARE COORD/MH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1033051040
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDYN KANDYCE JONES CARE COORD/MH
Provider Business Mailing Address
First Line : 3100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2508
Country : US
Telephone Number : 216-361-4400
Fax Number : 216-361-2340
Provider Business Practice Location Address
First Line : 3100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2508
Country : US
Telephone Number : 216-361-4400
Fax Number : 216-361-2340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ JORDYN KANDYCE JONES CARE COORD/MH” Practice Location

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