Individual provider · Type 1 NPI

Miranda Jordan, CDCA

Addiction (Substance Use Disorder) Counselor · Portsmouth, OH

NPI number 1043021835 Active

Practice location

1431 Offnere St
Portsmouth, OH 45662-3505

Call (740) 353-4673 Map

Mailing address

800 Gallia St Ste 600
Portsmouth, OH 45662-4097

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Peer Specialist 175T00000XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043021835

Miranda Jordan, CDCA's National Provider Identifier is 1043021835, issued on Jan 20, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portsmouth, OH. The record was last updated on Mar 24, 2026.