person
Jordan Licurgo, ADT
Addiction (Substance Use Disorder) Counselor in Charlotte Hall, Maryland
NPI 1487243275

Jordan Licurgo is an Addiction (Substance Use Disorder) Counselor based in Charlotte Hall, MD and is specialized in Addiction (Substance Use Disorder). Jordan Licurgo practices in Charlotte Hall, MD and has the professional credentials of ADT. The NPI Number for Jordan Licurgo is 1487243275 and holds a License No. (Maryland).

The current practice location address for Jordan Licurgo is 30007 Business Center Dr, Charlotte Hall, MD and can be reached out via phone at 301-997-1300.

Location: 30007 Business Center Dr, Charlotte Hall, MD, 20622-3101
person
Provider Profile Details
NPI Number
1487243275
Provider Name
Jordan Licurgo
Credential
ADT
Provider Entity Type
Individual
Gender
Female
Address
30007 Business Center Dr, Charlotte Hall, MD, 20622-3101
Phone Number
301-997-1300
Fax Number
Provider Enumeration Date
01/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30007 Business Center Dr
City
State
Zip
20622-3101
Phone Number
301-997-1300
Fax Number
person
Provider Business Mailing Address Details
Address
30007 Business Center Dr
City
State
Zip
20622-3101
Phone Number
301-997-1300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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