National Provider Identifier
Jordan Alston
Jordan Alston is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Derby, NY and a listed phone number of (716) 947-5025.
Profile Overview
- NPI
- 1326683343
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- November 13, 2019
- Last Updated
- October 07, 2025
Practice Location
- 6722 Erie RD
- Derby, NY 14047-9670
Phone: (716) 947-5025
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1326683343
- Entity Type
- Individual
- Last Name
- Alston
- First Name
- Jordan
- Mailing Street Address
- 6722 Erie RD
- Mailing City
- Derby
- Mailing State
- NY
- Mailing ZIP Code
- 14047-9670
- Mailing Country
- US
- Mailing Phone
- (716) 947-5025
- Practice Street Address
- 6722 Erie RD
- Practice City
- Derby
- Practice State
- NY
- Practice ZIP Code
- 14047-9670
- Practice Country
- US
- Practice Phone
- (716) 947-5025
- Enumeration Date
- November 13, 2019
- Last Updated
- October 07, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 07, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)