Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Nicole Shore, LCMHCA

Individual provider Professional Counselor · NPI 1174301139

Jordan Nicole Shore, LCMHCA is a Professional Counselor in Ronda, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
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Practice location Address checks out

14072 Elkin Highway 268
Ronda, NC 28670-9199
Phone: (336) 827-0089
Fax: (844) 676-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A19232 (NC)

Record details

NPI number1174301139
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCA
Sole proprietorYes
NPI enumeratedSeptember 20, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

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