Individual provider · Type 1 NPI
Samantha M. Jordan, CDCA
Addiction (Substance Use Disorder) Counselor · Athens, OH
NPI number
1235648577
Active
Practice location
11100 State Route 550 Ste H
Athens, OH 45701-8839
Mailing address
52189 Rye Rd
Reedsville, OH 45772-9740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.141764 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1235648577
Samantha M. Jordan, CDCA's National Provider Identifier is 1235648577, issued on Sep 28, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Athens, OH. The record was last updated on Sep 28, 2017.