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NPI Code Detail

MEDICARE: JOURDAN FACEN LPC

MEDICARE:   JOURDAN  FACEN  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
1101YP2500XProfessional Counselor178018496IL
2101YM0800XMental Health Counselor180018172IL

General Provider Information

NPI Number : 1639966278
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOURDAN FACEN LPC
Provider Business Mailing Address
First Line : 932 W WASHINGTON BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2217
Country : US
Telephone Number : 312-226-7984
Fax Number : 312-980-0482
Provider Business Practice Location Address
First Line : 124 N SANGAMON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2202
Country : US
Telephone Number : 312-226-7984
Fax Number : 312-980-0482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2025
Last Update Date : 06/17/2026

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Directions to “ JOURDAN FACEN LPC” Practice Location

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