Organization · Type 2 NPI
Jordan Community Residential Center
Addiction (Substance Use Disorder) Psychologist · Willoughby, OH
Practice location
30841 Euclid Ave Ste 103
Willoughby, OH 44094-3100
Fax (216) 634-9611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist Primary | 103TA0400X | None listed |
Addiction (Substance Use Disorder) Psychologist: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…
6 other providers at this address
- Jordan Community ResidentialMental Health Counselor Willoughby, OH NPI 1467098822
- Alicia Dexter, CDCAAddiction (Substance Use Disorder) Counselor Willoughby, OH NPI 1952009219
- Jennifer Lopez, CDCAAddiction (Substance Use Disorder) Counselor Willoughby, OH NPI 1336067586
- Jocelyn Gardner, SWTCounselor Willoughby, OH NPI 1073461091
- Joye E. Toombs, LSWSocial Worker Willoughby, OH NPI 1881464436
- Vaschez C. Westmoreland, CDCAAddiction (Substance Use Disorder) Counselor Willoughby, OH NPI 1659299808
About NPI 1164068524
Jordan Community Residential Center's National Provider Identifier is 1164068524, issued on Nov 20, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Willoughby, OH. The record was last updated on Feb 4, 2025.