Provider Demographics
NPI:1447658083
Name:COHEN, JORDANA (LMHC)
Entity type:Individual
Prefix:MS
First Name:JORDANA
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 2ND AVE UNIT 508
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-3050
Mailing Address - Country:US
Mailing Address - Phone:206-593-7223
Mailing Address - Fax:
Practice Address - Street 1:2911 2ND AVE UNIT 508
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-3050
Practice Address - Country:US
Practice Address - Phone:206-593-7223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-14
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
WAMC60760045101YM0800X
WALH61344440101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health