Provider Demographics
NPI:1598281230
Name:JORDING, SUSAN R (LCPC, LMAC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:R
Last Name:JORDING
Suffix:
Gender:F
Credentials:LCPC, LMAC
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:DIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 747
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66505-0747
Mailing Address - Country:US
Mailing Address - Phone:785-587-4300
Mailing Address - Fax:785-587-4363
Practice Address - Street 1:406 N 3RD ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:KS
Practice Address - Zip Code:66508-1496
Practice Address - Country:US
Practice Address - Phone:785-562-3907
Practice Address - Fax:785-587-4339
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS741101YA0400X
KS03193101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)