Individual provider · Type 1 NPI

D'angelo Jordan Sr.

Addiction (Substance Use Disorder) Counselor · Corbin, KY

NPI number 1467977017 Active

Practice location

1203 American Greeting Card Rd
Corbin, KY 40701-4811

Mailing address

257 Hanes Baker Rd
Corbin, KY 40701-4902

Specialties and licenses

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

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

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About NPI 1467977017

D'angelo Jordan Sr.'s National Provider Identifier is 1467977017, issued on Aug 4, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Corbin, KY. The record was last updated on Aug 4, 2017.