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

MS. Keyana Tanie Jordan

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902457682

MS. Keyana Tanie Jordan is an Addiction (Substance Use Disorder) Counselor in Jamestown, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
Specialties on file
2

Practice location Address checks out

4508 Crowne Lake Cir Apt 1D
Jamestown, NC 27282-7921
Phone: (252) 314-7403
Show map & directions

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

Additional practice locations (1)

  • 4508 Crowne Lake Cir Apt 1d, Jamestown, NC 27282-7921 — (252) 314-7403

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A15383 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-25905 (NC)

Record details

NPI number1902457682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2019
Last updated in NPPESNovember 23, 2019

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