# JORDAN WILLER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598217705
- **Authorized official:** JORDAN WILLER LMHP (COUNSELOR)
- **Authorized official phone:** (402) 360-0055

## Contact information

- **Practice address:** 1306 N 13TH ST, STE 100, NORFOLK, NE 68701-2591
- **Practice address phone:** (402) 360-0055
- **Mailing address:** 1306 N 13TH ST, STE 100, NORFOLK, NE 68701-2591
- **Mailing address phone:** (402) 360-0055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 4547 | NE | Yes |

## Other

- **Enumeration date:** 11/04/2016
- **Last updated:** 11/04/2016