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Organization

NORTHNODE GROUP COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTONYA JORDAN (MANAGING PARTNER)
(703) 565-6278
Entity
Organization

Contact information

Practice address
1418 S STATE ST, DOVER, DE 19901-4948
(302) 257-3135
(302) 526-2410
Mailing address
1418 S STATE ST, DOVER, DE 19901-4948
(302) 257-3135
(302) 526-2410

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
169824091
DE
261Q00000X
Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003273954
DE
Enumeration date
01/24/2016
Last updated
04/10/2025
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