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NPI Code Detail

MEDICARE: JORDAN SCHULZ

MEDICARE: JORDAN SCHULZ
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 CounselorA21770NC

General Provider Information

NPI Number : 1588213599
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN SCHULZ
Provider Business Mailing Address
First Line : 542 SUGAR COVE LN
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-6320
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 542 SUGAR COVE LN
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-6320
Country : US
Telephone Number : 719-644-6689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2019
Last Update Date : 07/23/2025

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Directions to “ JORDAN SCHULZ ” Practice Location

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