Provider Demographics
NPI:1790281566
Name:JORDAN, KARRI ANN PERRY (LPC)
Entity type:Individual
Prefix:MS
First Name:KARRI
Middle Name:ANN PERRY
Last Name:JORDAN
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1736 E SUNSHINE ST STE 406
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1330
Mailing Address - Country:US
Mailing Address - Phone:417-371-6184
Mailing Address - Fax:
Practice Address - Street 1:1736 E SUNSHINE ST STE 406
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1330
Practice Address - Country:US
Practice Address - Phone:417-371-6184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007574101YP2500X
MO2022016841101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional