DOMINIQUE JORDAN BA
NPI 1487167789
Counselor - Mental Health in Lakewood, WA

Active since November 08, 2017
9330 59TH AVE SW, LAKEWOOD, WA 98499(253) 620-5015 Get Directions Write a Review

NPPES record last updated: November 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dominique Jordan Ba NPPES

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

DOMINIQUE JORDAN BA (NPI 1487167789) is an individual mental health provider in Lakewood, Washington and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1487167789
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDOMINIQUE JORDANCredential: BA
Location Address9330 59TH AVE SWLakewood, WA 98499-2858
Mailing Address9330 59th Ave SwLakewood, WA 98499-2858
Sole ProprietorNo
Enumeration DateNovember 8, 2017
NPI 1487167789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
9330 59TH AVE SW, Lakewood, WA 98499

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Licensed Practical Nurse
9330 59TH AVE SW
LAKEWOOD, WA 98499
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499

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 Jordan's NPI number?

The NPI number for Dominique Jordan is 1487167789. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Where is Dominique Jordan located?

Dominique Jordan practices at 9330 59th Ave SW, Lakewood, WA 98499. The listed phone number is (253) 620-5015.

What is Dominique Jordan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dominique Jordan was last updated on November 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.