Individual
JORDYN LYNN MERCHANT BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13160 COUNTY ROAD 3610, SAINT JAMES, MO 65559-9151
(573) 265-3251
Mailing address
1206 S ARCADIA AVE, SPRINGFIELD, MO 65804-0523
(318) 541-3315
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
202312476
MO
101YM0800X
Mental Health Counselor
16220
LA
1041C0700X
Clinical Social Worker
16220
LA
1041C0700X
Clinical Social Worker
Primary
2024000834
MO
Other
Enumeration date
03/07/2023
Last updated
02/16/2026
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