Individual provider · Type 1 NPI
Stephenq Micheal Jordan, M.S.
Addiction (Substance Use Disorder) Counselor · South Yarmouth, MA
NPI number
1639618010
Active
Practice location
31 Workshop Rd
South Yarmouth, MA 02664-1210
Mailing address
60 Pine Hill Blvd
Mashpee, MA 02649-2850
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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About NPI 1639618010
Stephenq Micheal Jordan, M.S.'s National Provider Identifier is 1639618010, issued on Feb 17, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Yarmouth, MA. The record was last updated on Feb 17, 2017.