Individual
NICHOLAS BREWER JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
6615 FLORA AVE, KANSAS CITY, MO 64131-1409
(816) 514-1087
Mailing address
616 E 63RD ST STE 200A, KANSAS CITY, MO 64110-3371
(816) 514-1087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020005149
MO
Other
Enumeration date
04/07/2021
Last updated
09/27/2025
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