Provider Demographics
NPI:1760927446
Name:JORDAN, DARCI ELIZABETH (MA, LPC, CDCA)
Entity Type:Individual
Prefix:MRS
First Name:DARCI
Middle Name:ELIZABETH
Last Name:JORDAN
Suffix:
Gender:F
Credentials:MA, LPC, CDCA
Other - Prefix:MISS
Other - First Name:DARCI
Other - Middle Name:ELIZABETH
Other - Last Name:RIGSBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 S COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-4315
Mailing Address - Country:US
Mailing Address - Phone:740-687-4500
Mailing Address - Fax:740-687-4595
Practice Address - Street 1:201 S COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-4315
Practice Address - Country:US
Practice Address - Phone:740-687-4500
Practice Address - Fax:740-687-4595
Is Sole Proprietor?:No
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1600103101Y00000X
OHCDCA.161687101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)