person
Mr. Jordan T. Desimone, CADC-CAS
Addiction (Substance Use Disorder) Counselor in Altadena, California
NPI 1932673563

Jordan T. Desimone is an Addiction (Substance Use Disorder) Counselor based in Pasadena, CA and is specialized in Addiction (Substance Use Disorder). Jordan T. Desimone practices in Altadena, CA and has the professional credentials of CADC-CAS. The NPI Number for Jordan T. Desimone is 1932673563 and holds a License No. C039991116 (California).

The current practice location address for Jordan T. Desimone is 460 E Sacramento St, Altadena, CA and can be reached out via phone at 626-808-0335 and via fax at 626-270-4640.

Location: 460 E Sacramento St, Altadena, CA, 91104-5035
person
Provider Profile Details
NPI Number
1932673563
Provider Name
Jordan T. Desimone
Credential
CADC-CAS
Provider Entity Type
Individual
Gender
Male
Address
460 E Sacramento St, Altadena, CA, 91104-5035
Phone Number
626-808-0335
Fax Number
626-270-4640
Provider Enumeration Date
01/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C039991116 01 CA CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS
institution
Provider Business Practice Location Address Details
Address
460 E Sacramento St
City
State
Zip
91001-2915
Phone Number
626-808-0335
Fax Number
626-270-4640
person
Provider Business Mailing Address Details
Address
460 E Sacramento St
City
State
Zip
91001-2915
Phone Number
626-808-0335
Fax Number
626-270-4640
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C039991116 (California)
Definition
Definition to come...
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