Active NPIIndividual provider

Stephenq M Jordan, MS

Counselor, Addiction (Substance Use Disorder) in South Yarmouth, Massachusetts

NPI Number1639618010
Practice location
31 Workshop RD, South Yarmouth, MA 02664-1210
Fax
—
Last updated
February 17, 2017

Stephenq Micheal Jordan is a Counselor, Addiction (Substance Use Disorder) based in South Yarmouth, MA. Stephenq Micheal Jordan practices in South Yarmouth, MA and has the professional credentials of MS. The NPI Number for Stephenq Micheal Jordan is 1639618010. The current practice location address for Stephenq Micheal Jordan is 31 Workshop RD, South Yarmouth, MA 02664-1210 and can be reached out via phone at 855-830-4329.

Provider Profile Details

NPI Number
1639618010
Provider Name
Stephenq Micheal Jordan
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
31 Workshop RD, South Yarmouth, MA 02664-1210
Phone Number
855-830-4329
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
February 17, 2017
Last Update Date
February 17, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Workshop RD
South Yarmouth, MA 02664-1210
Zip
02664-1210
Phone Number
855-830-4329
South Yarmouth, MA 02664Get directions →

Provider Business Mailing Address Details

Address
60 Pine Hill Blvd
Mashpee, MA 02649-2850
City
Mashpee
State
MA
Zip
02649-2850
Phone Number
855-830-4329

License Information

Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stephenq M Jordan, MS?

The NPI number of Stephenq M Jordan, MS is 1639618010. It was assigned on February 17, 2017 and is currently active in the NPPES registry.

What is the specialty of Stephenq M Jordan, MS?

Stephenq M Jordan, MS is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Stephenq M Jordan, MS practice?

The practice location is 31 Workshop RD, South Yarmouth, MA 02664-1210. The office can be reached at 855-830-4329 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639618010 directly on the NPPES registry website.

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