Individual provider · Type 1 NPI

Charles Jordan

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1578060794 Active

Practice location

4124 Linden Ave
Dayton, OH 45432-3018

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1578060794

Charles Jordan's National Provider Identifier is 1578060794, issued on Apr 13, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Apr 13, 2018.