Individual provider · Type 1 NPI

Jordan Daniels

Addiction (Substance Use Disorder) Counselor · Fairbanks, AK

NPI number 1609428317 Active

Practice location

3100 S Cushman St
Fairbanks, AK 99701-7516

Fax (907) 456-4849

Mailing address

2315 Onyx Rd
North Pole, AK 99705-6210

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 1609428317

Jordan Daniels's National Provider Identifier is 1609428317, issued on Jul 12, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 12, 2019.