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

Kevin Michael Jordan, LCDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1801595574

Kevin Michael Jordan, LCDC is an Addiction (Substance Use Disorder) Counselor in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023

Practice location Address checks out

1827 W Gentry Pkwy
Tyler, TX 75702-3929
Phone: (903) 630-7461
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 13944 (TX)

Record details

NPI number1801595574
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDC
Sole proprietorNo
NPI enumeratedMarch 1, 2023
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023

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