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Jacqueline D Jordan, CO
Addiction (Substance Use Disorder) Counselor in Birmingham, Alabama
NPI 1326076522

Jacqueline D Jordan is an Addiction (Substance Use Disorder) Counselor based in Birmingham, AL and is specialized in Addiction (Substance Use Disorder). Jacqueline D Jordan practices in Birmingham, AL and has the professional credentials of CO. The NPI Number for Jacqueline D Jordan is 1326076522 and holds a License No. 10081 (Alabama).

The current practice location address for Jacqueline D Jordan is 619 19Th Street South, Birmingham, AL and can be reached out via phone at 205-934-6600. You can also correspond with Jacqueline D Jordan through the mailing address at PO BOX 55310, BIRMINGHAM, AL - 35255-5310 (mailing address contact number: 205-731-9701).

Location: 619 19Th Street South, Birmingham, AL, 35255-5310
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Provider Profile Details
NPI Number
1326076522
Provider Name
Jacqueline D Jordan
Credential
CO
Provider Entity Type
Individual
Gender
Female
Address
619 19Th Street South, Birmingham, AL, 35255-5310
Phone Number
205-934-6600
Fax Number
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E92967 01 AL VIVA
institution
Provider Business Practice Location Address Details
Address
619 19Th Street South
City
State
Zip
35233
Phone Number
205-934-6600
Fax Number
person
Provider Business Mailing Address Details
Address
619 19Th Street South
City
State
Zip
35233
Phone Number
205-934-6600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10081 (Alabama)
Definition
Definition to come...
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