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YONSIM JORDAN
NPI 1629443080
Counselor - Mental Health in Puyallup, WA

Active since December 09, 2015
12812 101ST AVENUE CT E, PUYALLUP, WA 98373(253) 864-4770 Get Directions Write a Review

NPPES record last updated: December 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yonsim Jordan NPPES

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

YONSIM JORDAN (NPI 1629443080) is an individual mental health provider in Puyallup, Washington, licensed in Washington (MC60614135) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1629443080
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameYONSIM JORDAN
Location Address12812 101ST AVENUE CT EPuyallup, WA 98373-9101
Mailing AddressPo Box 34703Seattle, WA 98124-1703
Phone(253) 864-4770
Sole ProprietorNo
Enumeration DateDecember 9, 2015
✔ NPI 1629443080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · MC60614135
12812 101ST AVENUE CT E, Puyallup, WA 98373
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Other Providers at the Same Location NPPES 9

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

KLEIN CHIROPRACTIC CLINIC
Chiropractor
12812 101ST AVENUE CT E, SUITE 104
PUYALLUP, WA 98373
Pierce County (253) 841-4457
OSCAR MANUAL MEZA-VALLE
Case Manager/Care Coordinator
12812 101ST AVENUE CT E
PUYALLUP, WA 98373
Pierce County (253) 864-4770
JUDITH VELASQUEZ
Counselor (Addiction (Substance Use Disorder))
12812 101ST AVENUE CT E, SUITE 202
PUYALLUP, WA 98373
Pierce County (253) 864-4770
HECTOR MADRID
Counselor (Addiction (Substance Use Disorder))
12812 101ST AVENUE CT E
PUYALLUP, WA 98373
Pierce County (253) 864-4770
JILLAYNE MACDONALD
Counselor (Addiction (Substance Use Disorder))
12812 101ST AVENUE CT E, SUITE 202
PUYALLUP, WA 98373
Pierce County (253) 864-4770
DEBBI WARNER REED
Counselor (Addiction (Substance Use Disorder))
12812 101ST AVENUE CT E
PUYALLUP, WA 98373
Pierce County (253) 864-4770
CHARLEEN FITZGERALD
Counselor (Addiction (Substance Use Disorder))
12812 101ST AVENUE CT E
PUYALLUP, WA 98373
Pierce County (253) 864-4770
ASHLEY JEFFERSON
Nurse Practitioner (Psychiatric/Mental Health)
12812 101ST AVENUE CT E
PUYALLUP, WA 98373
Pierce County (253) 864-4770

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 Yonsim Jordan's NPI number?

The NPI number for Yonsim Jordan is 1629443080. It was assigned to this individual provider in the NPPES registry on December 9, 2015.

Where is Yonsim Jordan located?

Yonsim Jordan practices at 12812 101st Avenue Ct E, Puyallup, WA 98373. The listed phone number is (253) 864-4770.

What is Yonsim 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 Yonsim Jordan was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.