Provider Demographics
NPI:1407518137
Name:RIGEL, JORDAN C (MA)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:C
Last Name:RIGEL
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4076 MARKET ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4200
Mailing Address - Country:US
Mailing Address - Phone:717-918-4900
Mailing Address - Fax:866-241-2670
Practice Address - Street 1:4076 MARKET ST STE 100
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4200
Practice Address - Country:US
Practice Address - Phone:717-918-4900
Practice Address - Fax:866-241-2670
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional