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DOMINIQUE FORTSON-JORDAN CDP
NPI 1245768308
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since June 01, 2017
758 ST HELENS AVE, TACOMA, WA 98402(253) 274-0484 Get Directions Write a Review

NPPES record last updated: June 1, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dominique Fortson-jordan Cdp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE FORTSON-JORDAN CDP (NPI 1245768308) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (60597844) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1245768308
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDOMINIQUE FORTSON-JORDANCredential: CDP
Location Address758 ST HELENS AVETacoma, WA 98402-3706
Mailing Address758 St Helens AveTacoma, WA 98402-3706
Phone(253) 274-0484
Sole ProprietorNo
Enumeration DateJune 1, 2017
✔ NPI 1245768308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · 60597844
758 ST HELENS AVE, Tacoma, WA 98402
Open in Google Maps ↗

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELLEN JANELL GILBO M.S. C.C., CDP
Counselor (Addiction (Substance Use Disorder))
758 ST HELENS AVE
TACOMA, WA 98402
Pierce County (253) 274-0484
MS. PAT A AYERS CDP
Counselor (Addiction (Substance Use Disorder))
758 ST HELENS AVE
TACOMA, WA 98402
Pierce County (253) 274-0484
MS. KIMMY JO LAKE CDP
Counselor (Addiction (Substance Use Disorder))
758 ST HELENS AVE
TACOMA, WA 98402
Pierce County (253) 274-0484
SHERRONDA JAMERSON MHCA, CDP
Counselor (Addiction (Substance Use Disorder))
758 ST HELENS AVE
TACOMA, WA 98402
Pierce County (253) 274-0484
LORISSA CLOUD C.D.P.
Counselor (Addiction (Substance Use Disorder))
758 ST HELENS AVE
TACOMA, WA 98402
Pierce County (253) 274-0484
MATTHEW CRUVANT MA, LMHC
Counselor (Mental Health)
758 ST HELENS AVE
TACOMA, WA 98402
Pierce County (253) 274-0484
MAYRA GONZALEZ CDPT
Counselor (Addiction (Substance Use Disorder))
758 ST HELENS AVE
TACOMA, WA 98402
Pierce County (253) 274-0484
MARELISE BOLDEN CDPT
Counselor (Addiction (Substance Use Disorder))
758 ST HELENS AVE
TACOMA, WA 98402
Pierce County (253) 274-0484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Fortson-jordan's NPI number?

The NPI number for Dominique Fortson-jordan is 1245768308. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Where is Dominique Fortson-jordan located?

Dominique Fortson-jordan practices at 758 St Helens Ave, Tacoma, WA 98402. The listed phone number is (253) 274-0484.

What is Dominique Fortson-jordan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dominique Fortson-jordan was last updated on June 1, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.