Individual
JORDAN STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4320 DEXTER AVE, ERIE, PA 16504-2444
(814) 825-2930
(814) 825-2964
Mailing address
3169 W 40TH ST, ERIE, PA 16506-5309
(330) 766-3323
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC013427
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/20/2021
Last updated
10/06/2025
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