Individual provider · Type 1 NPI

Dominique Fortson-Jordan, CDP

Addiction (Substance Use Disorder) Counselor · Tacoma, WA

NPI number 1245768308 Active

Practice location

758 St Helens Ave
Tacoma, WA 98402-3706

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X60597844 (WA)

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

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About NPI 1245768308

Dominique Fortson-Jordan, CDP's National Provider Identifier is 1245768308, issued on Jun 1, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Jun 1, 2017.