Individual provider · Type 1 NPI

Kyle Andrew Jordan, CADC II, ICADC, AS

Addiction (Substance Use Disorder) Counselor · Campo, CA

NPI number 1124686910 Active

Practice location

1777 Buckman Springs Rd
Campo, CA 91906-2022

Call (619) 478-5696 Map

Fax (619) 478-2404

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA063351023 (CA)

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

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About NPI 1124686910

Kyle Andrew Jordan, CADC II, ICADC, AS's National Provider Identifier is 1124686910, issued on Jun 5, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Campo, CA. The record was last updated on Mar 27, 2025.