MEDICARE: MRS. MONIQUE RENEE JORDAN LMHC

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	101YM0800X	Mental Health Counselor	LH60806253	WA

General Provider Information

NPI Number	:	1831602598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MONIQUE RENEE JORDAN LMHC

Provider Business Mailing Address
First Line	:	2615 19TH STREET PL SW
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98373-3953
Country	:	US
Telephone Number	:	253-365-3964
Fax Number	:	888-748-2797

Provider Business Practice Location Address
First Line	:	1554 S GRANT AVE
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-3250
Country	:	US
Telephone Number	:	253-365-3964
Fax Number	:	888-748-2797

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

Provider Enumeration Date	:	11/15/2017
Last Update Date	:	11/15/2017

Similar Medicare Providers

1174036099 — FAMILY RESTORATION & EMPOWERMENT ENTERPRISES
Practice Location Address:

1554 S GRANT AVE
TACOMA, WA
98405-3250

Practice Phone: 253-365-3964
Practice Fax:

1235082793 — SADIA COLEY
Practice Location Address:

3315 S 23RD ST STE 102
TACOMA, WA
98405-1615

Practice Phone: 253-345-5720
Practice Fax:

1285587741 — SARA M WALKER
Practice Location Address:

3315 S 23RD ST STE 102
TACOMA, WA
98405-1615

Practice Phone: 253-345-5720
Practice Fax:

1033885835 — MEAGAN SZYMANSKI PT
Practice Location Address:

2909 S 12TH ST
TACOMA, WA
98405-2540

Practice Phone: 253-316-8097
Practice Fax:

1891648036 — MAISY JACOBSEN PA STUDENT
Practice Location Address:

1717 S J ST
TACOMA, WA
98405-4933

Practice Phone: 253-426-4101
Practice Fax:

1801749940 — MR. STEVEN SOLESBEE LSWAIC
Practice Location Address:

922 S J ST
TACOMA, WA
98405-4110

Practice Phone: 360-701-7078
Practice Fax:

Directions to “ MRS. MONIQUE RENEE JORDAN LMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.