Individual provider · Type 1 NPI

Pamela Jordan, CAS REGISTERED 12139

Addiction (Substance Use Disorder) Counselor · Lompoc, CA

NPI number 1336407048 Active

Practice location

110 S. 'c' St. Ste. A, Family Service Agency
Lompoc, CA 93436

Call (805) 735-4376 Map

Fax (805) 737-3251

Mailing address

123 West Gutierrez St., Family Service Agency Santa Barbara
Santa Barbara, CA 93101

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12139 (CA)

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

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About NPI 1336407048

Pamela Jordan, CAS REGISTERED 12139's National Provider Identifier is 1336407048, issued on May 1, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lompoc, CA. The record was last updated on Oct 16, 2015.