person
Jordan Jordan
Addiction (Substance Use Disorder) Counselor in Ceres, California
NPI 1699255034

Jordan Jordan is an Addiction (Substance Use Disorder) Counselor based in Ceres, CA and is specialized in Addiction (Substance Use Disorder). Jordan Jordan practices in Ceres, CA. The NPI Number for Jordan Jordan is 1699255034 and holds a License No. (California).

The current practice location address for Jordan Jordan is 1904 Richland Ave, Ceres, CA and can be reached out via phone at 209-525-7434.

Location: 1904 Richland Ave, Ceres, CA, 95307-4562
person
Provider Profile Details
NPI Number
1699255034
Provider Name
Jordan Jordan
Credential
Provider Entity Type
Individual
Gender
Male
Address
1904 Richland Ave, Ceres, CA, 95307-4562
Phone Number
209-525-7434
Fax Number
Provider Enumeration Date
08/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
374700000X 05 CA
institution
Provider Business Practice Location Address Details
Address
1904 Richland Ave
City
State
Zip
95307-4562
Phone Number
209-525-7434
Fax Number
person
Provider Business Mailing Address Details
Address
1904 Richland Ave
City
State
Zip
95307-4562
Phone Number
209-525-7434
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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