Individual provider · Type 1 NPI
Jacqueline D. Jordan, CO
Addiction (Substance Use Disorder) Counselor · Birmingham, AL
NPI number
1326076522
Active
Practice location
619 19th Street South
Birmingham, AL 35233
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10081 (AL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1326076522
Jacqueline D. Jordan, CO's National Provider Identifier is 1326076522, issued on Jun 28, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Birmingham, AL. The record was last updated on Jul 8, 2007.