Individual provider · Type 1 NPI
Jordan Licurgo, ADT
Addiction (Substance Use Disorder) Counselor · Charlotte Hall, MD
NPI number
1487243275
Active
Practice location
30007 Business Center Dr
Charlotte Hall, MD 20622-3101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Charlotte Hall
- Mary Diane Grove, CSC-ADAddiction (Substance Use Disorder) Counselor Charlotte Hall, MD NPI 1053900381
- Zaneta Artis-WheelerAddiction (Substance Use Disorder) Counselor Charlotte Hall, MD NPI 1093395543
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- Lizabeth Lenhart-Cooksey, LCSW-C, LCADCAddiction (Substance Use Disorder) Counselor Charlotte Hall, MD NPI 1134447303
- Christal Micheele Andrews, ADTAddiction (Substance Use Disorder) Counselor Charlotte Hall, MD NPI 1144958182
- Janet Marie Trijo, CSAC, NCACII, QMHP-AAddiction (Substance Use Disorder) Counselor Charlotte Hall, MD NPI 1164010153
- Justin A. ShanerAddiction (Substance Use Disorder) Counselor Charlotte Hall, MD NPI 1255061628
- Rakiah Starr BattleAddiction (Substance Use Disorder) Counselor Charlotte Hall, MD NPI 1285486183
About NPI 1487243275
Jordan Licurgo, ADT's National Provider Identifier is 1487243275, issued on Jan 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlotte Hall, MD. The record was last updated on Jan 15, 2021.