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NPI Code Detail

MEDICARE: JORDAN KERR

MEDICARE: JORDAN KERR
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 Counselor90786TX

General Provider Information

NPI Number : 1952267270
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN KERR
Provider Business Mailing Address
First Line : 5366 DRANE DR
Second Line :
City : DALLAS
State : TX
Zip : 75209-5502
Country : US
Telephone Number : 214-415-5954
Fax Number :
Provider Business Practice Location Address
First Line : 8100 LOMO ALTO DR STE 205
Second Line :
City : DALLAS
State : TX
Zip : 75225-6545
Country : US
Telephone Number : 214-415-5954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2025
Last Update Date : 12/30/2025

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Directions to “ JORDAN KERR ” Practice Location

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