person
Derek R. Jordan
Addiction (Substance Use Disorder) Counselor in Milford, Ohio
NPI 1669911285

Derek R. Jordan is an Addiction (Substance Use Disorder) Counselor based in Cincinnati, OH and is specialized in Addiction (Substance Use Disorder). Derek R. Jordan practices in Milford, OH. The NPI Number for Derek R. Jordan is 1669911285 and holds a License No. LCDCIII.121091 (Ohio).

The current practice location address for Derek R. Jordan is 25 Whitney Dr Ste 122, Milford, OH and can be reached out via phone at 513-941-4999 and via fax at 513-694-0168.

Location: 25 Whitney Dr Ste 122, Milford, OH, 45247-7958
person
Provider Profile Details
NPI Number
1669911285
Provider Name
Derek R. Jordan
Credential
Provider Entity Type
Individual
Gender
Male
Address
25 Whitney Dr Ste 122, Milford, OH, 45247-7958
Phone Number
513-941-4999
Fax Number
513-694-0168
Provider Enumeration Date
02/15/2017
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0218756 05 OH
institution
Provider Business Practice Location Address Details
Address
25 Whitney Dr Ste 122
City
State
Zip
45150-8400
Phone Number
513-941-4999
Fax Number
513-694-0168
person
Provider Business Mailing Address Details
Address
25 Whitney Dr Ste 122
City
State
Zip
45150-8400
Phone Number
513-941-4999
Fax Number
513-694-0168
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
E.2303715 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCDCIII.121091 (Ohio)
Definition
Definition to come...
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