Provider Demographics
NPI:1215681549
Name:CLARFIELD, JORDAN R (MSC, MA)
Entity type:Individual
Prefix:MR
First Name:JORDAN
Middle Name:R
Last Name:CLARFIELD
Suffix:
Gender:M
Credentials:MSC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2232 W KENT AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-5314
Mailing Address - Country:US
Mailing Address - Phone:406-251-7073
Mailing Address - Fax:
Practice Address - Street 1:1119 W KENT AVE STE D
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-6633
Practice Address - Country:US
Practice Address - Phone:406-214-2459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-06
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional