MRS. JEANETTE MIDDLE JORDAN-HUFFAM OFFICE


Address: 3911 W Bent Grass Dr, Fayetteville, NC 28312-8791
Phone: 9103081641

MRS. JEANETTE MIDDLE JORDAN-HUFFAM OFFICE (NPI# 1326657875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326657875
Entity Type Individual
Full Name MRS. JEANETTE MIDDLE JORDAN-HUFFAM OFFICE
Credential LCMHC
Practice Address 3911 W Bent Grass Dr
Fayetteville
NC 28312-8791
Practice Telephone 9103081641
Mailing Telephone 9103081641
Enumeration Date 2020-07-29
Last Update Date 2020-07-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
148 NC Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
821 NC Behavioral Health & Social Service Providers

Office Location

Street Address 3911 W BENT GRASS DR
City FAYETTEVILLE
State NC
Zip Code 28312-8791

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NPI Name Taxonomy Address Enumeration
1376185207 Christine U Jones Technician 3801 Stedman Cedar Creek Rd, Fayetteville, NC 28312 2019-10-11
1497305890 Stephanie Deshawn Cain Technician 1250 Colts Pride Dr, Fayetteville, NC 28312 2019-09-17
1477057545 Accurate Sleep Diagnostic Center LLC Clinic/Center 4220 Locks Creek Church Road, Fayetteville, NC 28312 2018-03-22
1245739457 Heather S Callihan Home Health 415 Old Vander Rd, Fayetteville, NC 28312 2018-02-03
1497088371 Rainbow Pediatrics of Eastover Pediatrics 3361 Dunn Rd, Eastover, NC 28312 2009-09-10
1093947798 Nuvision Home Care, Inc. Home Health 1549 River Road, Fayetteville, NC 28312 2009-08-13
1992724157 Jactom Inc Skilled Nursing Facility 3532 Dunn Road, Fayetteville, NC 28312 2006-07-19
1134580442 Elizabeth Boyle Kleinfelder Nurse Practitioner 3551 Dunn Rd, Eastover, NC 28312 2016-03-14
1629458369 Mato Brown Social Worker 511 Middle Rd, Fayetteville, NC 28312 2015-06-08
1225109911 William I Cross Emergency Medicine 2086 Tailwinds Rd, Fayetteville, NC 28312-5001 2006-11-13
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619583432 Don Del-raye Jones Counselor 521 Rempstone Ln, Fayetteville, NC 28311-5501 2020-09-17
1023628278 Quadiedra Amos Counselor 3675 Fallstaff Dr, Fayetteville, NC 28306-9079 2020-08-03
1699385963 William Jones Counselor 4250 Clinton Rd Ste 102, Fayetteville, NC 28312-8517 2020-08-03
1952919573 Bianca Thomas Counselor 2713 Lake Club Dr, Fayetteville, NC 28304-5349 2020-07-20
1962029546 Deanna Dale Dunn Counselor 767 W North St Ste 112, Fayetteville, AR 72701-1865 2020-06-30
1053937490 Balance Ground Counseling LLC Counselor 240 Lofty Eagle Ln, Fayetteville, GA 30214-3531 2020-06-22
1659994010 Martanika Michelle Smith Counselor 351 Wagoner Dr Ste 105, Fayetteville, NC 28303-4608 2020-05-20
1477188985 Qiana Tamieka Gatling Counselor 4417 Briton Cir, Fayetteville, NC 28314-2401 2020-03-04
1467086496 The Pair Center for Couples Counseling Pllc Counselor 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 2020-02-28
1194359182 Meredith Leigh Kimbrough Counselor 31 E Center St Ste 210, Fayetteville, AR 72701-5391 2020-02-27
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Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 28312

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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