Individual provider · Type 1 NPI

Tracey Michelle Jordan-Richardson

Addiction (Substance Use Disorder) Counselor · Augusta, GA

NPI number 1093368763 Active

Practice location

2357 Tobacco Rd
Augusta, GA 30906-9220

Fax (706) 798-3795

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1093368763

Tracey Michelle Jordan-Richardson's National Provider Identifier is 1093368763, issued on Jul 22, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Augusta, GA. The record was last updated on Jul 22, 2019.