Provider Demographics
NPI:1821448770
Name:JORDAN, BRITTNEE KATHLEEN (LMHCA)
Entity Type:Individual
Prefix:MS
First Name:BRITTNEE
Middle Name:KATHLEEN
Last Name:JORDAN
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 NW QUEENSVIEW CT
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-9713
Mailing Address - Country:US
Mailing Address - Phone:816-508-0061
Mailing Address - Fax:
Practice Address - Street 1:1106 NW QUEENSVIEW CT
Practice Address - Street 2:
Practice Address - City:YELM
Practice Address - State:WA
Practice Address - Zip Code:98597-9713
Practice Address - Country:US
Practice Address - Phone:816-508-0061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-21
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61354678101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORIN PROCESSMedicaid