Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Pangallo-Koprowski, LPCC, LICDC, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639616592

Jordan Pangallo-Koprowski, LPCC, LICDC, LPC is an Addiction (Substance Use Disorder) Counselor in Burlington, Massachusetts. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017
Specialties on file
3
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

111 S Bedford St Ste 205
Burlington, MA 01803-5145
Phone: (888) 858-1723
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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 E.1700245 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LICDC.161566 (OH)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1639616592
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , LICDC , LPC
Sole proprietorNo
NPI enumeratedJanuary 30, 2017
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

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