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Jordan Paul, RADT
Addiction (Substance Use Disorder) Counselor in Corona, California
NPI 1710540034

Jordan Paul is an Addiction (Substance Use Disorder) Counselor based in Corona, CA and is specialized in Addiction (Substance Use Disorder). Jordan Paul practices in Corona, CA and has the professional credentials of RADT. The NPI Number for Jordan Paul is 1710540034 and holds a License No. R1333970119 (California).

The current practice location address for Jordan Paul is 623 N Main St, Corona, CA and can be reached out via phone at 909-488-9477.

Location: 623 N Main St, Corona, CA, 92880-1407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710540034
Provider Name
Jordan Paul
Credential
RADT
Provider Entity Type
Individual
Gender
Male
Address
623 N Main St, Corona, CA, 92880-1407
Phone Number
909-488-9477
Fax Number
Provider Enumeration Date
04/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
623 N Main St
City
Corona
State
California
Zip
92880-1407
Phone Number
909-488-9477
Fax Number
person
Provider Business Mailing Address Details
Address
623 N Main St
City
Corona
State
California
Zip
92880-1407
Phone Number
909-488-9477
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1333970119 (California)
Definition
Definition to come...
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