Individual provider · Type 1 NPI

Harrison Jordan, MA, BS, LCAS-A

Addiction (Substance Use Disorder) Counselor · Mooresville, NC

NPI number 1174411946 Active

Practice location

169 Gateway Blvd
Mooresville, NC 28117-5540

Mailing address

7769 Caswell Rd
Stanley, NC 28164-8786

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1174411946

Harrison Jordan, MA, BS, LCAS-A's National Provider Identifier is 1174411946, issued on Jun 27, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mooresville, NC. The record was last updated on Jun 27, 2025.