MEDICARE: JOURDAN WHITFIELD LPC

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
1	101Y00000X	Counselor	89044	TX

General Provider Information

NPI Number	:	1609695436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOURDAN WHITFIELD LPC

Provider Business Mailing Address
First Line	:	1621 W 6TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-5059
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1621 W 6TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-5059
Country	:	US
Telephone Number	:	512-522-6476
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2024
Last Update Date	:	01/20/2026

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